Wadsworth, Joel Russell

Wadsworth, Joel Russell is an sole proprietor health care provider with primary practice located at 13940 N Us Highway 441 Suite 602, Lady Lake FL 32159-8908. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wadsworth, Joel Russell can be contacted via phone (352) 750-0008.

Contact Information

Primary practice address
13940 N Us Highway 441 Suite 602 Lady Lake FL 32159-8908
Fax: (352) 259-9145
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN14051 Florida

Profile Details

NPI number 1134220130
LBN Legal business name Wadsworth, Joel Russell
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Nov 18th, 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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