Vanetta, George Robert

Vanetta, George Robert is an individual health care provider with primary practice located at 1947 Citrona Dr , Fernandina Beach FL 32034-4492. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vanetta, George Robert can be contacted via phone (904) 261-2980.

Contact Information

Primary practice address
1947 Citrona Dr Fernandina Beach FL 32034-4492
Phone: (904) 261-2980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN0013529 Florida

Profile Details

NPI number 1689782385
LBN Legal business name Vanetta, George Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 24th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689782385 NPPES
Florida Other DN0013529 LICENSE NUMBER

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