Throckmorton, David Randolph
Throckmorton, David Randolph is an individual health care provider with primary practice located at 3145 Virginia Beach Bvld 104, Virginia Beach VA 23452-6183. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Throckmorton, David Randolph can be contacted via phone (757) 340-7602.Contact Information
Primary practice address
3145 Virginia Beach Bvld 104
Virginia Beach VA 23452-6183
Phone: (757) 340-7602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401411064 | Virginia |
Profile Details
| NPI number | 1629038682 |
|---|---|
| LBN Legal business name | Throckmorton, David Randolph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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