Varnado, Dewanna Renee
Varnado, Dewanna Renee is an individual health care provider with primary practice located at 68 Old Airport Rd , Hattiesburg MS 39401-8382. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Varnado, Dewanna Renee can be contacted via phone (601) 583-4800.Contact Information
Primary practice address
68 Old Airport Rd
Hattiesburg MS 39401-8382
Phone: (601) 583-4800
Fax: (601) 584-7769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 2638-91 | Mississippi |
Profile Details
NPI number | 1386812410 |
---|---|
LBN Legal business name | Varnado, Dewanna Renee |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 11th, 2008 |
Last updated | Jul 7th, 2011 - about 14 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 | 1386812410 | NPPES |
Mississippi | Other | 1043492770 | WINDSOR HEALTH GROUP |
Mississippi | MEDICAID | 08130001 | WINDSOR HEALTH GROUP |
Mississippi | Other | 9728364 | WINDSOR HEALTH GROUP |
Mississippi | Other | 12252606 | WINDSOR HEALTH GROUP |
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