Tenniswood, Casey Anne
Tenniswood, Casey Anne is an sole proprietor health care provider with primary practice located at 532 Moe Rd , Clifton Park NY 12065-3822. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Tenniswood, Casey Anne can be contacted via phone (518) 373-1181.Contact Information
Primary practice address
532 Moe Rd
Clifton Park NY 12065-3822
Phone: (518) 373-1181
Fax: (518) 348-6517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901019567 | Michigan |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 054477-1 | New York |
Profile Details
| NPI number | 1164653630 |
|---|---|
| LBN Legal business name | Tenniswood, Casey Anne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2009 |
| Last updated | Aug 1st, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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