Throndson, Roger R
Throndson, Roger R is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Throndson, Roger R can be contacted via phone (409) 772-0817.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-5302
Phone: (409) 772-0817
Fax: (409) 772-0885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 17375 | Texas |
| Dental Providers / Dentist | 122300000X | 17375 | Texas |
Profile Details
| NPI number | 1457444143 |
|---|---|
| LBN Legal business name | Throndson, Roger R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 31st, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457444143 | NPPES |
| Texas | MEDICAID | 111228602 |
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