Bannan, Sean Michael
Bannan, Sean Michael is an sole proprietor health care provider with primary practice located at 4410 S Ridgewood Ave , Port Orange FL 32127-4516. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bannan, Sean Michael can be contacted via phone (386) 761-5883.Contact Information
Primary practice address
4410 S Ridgewood Ave
Port Orange FL 32127-4516
Phone: (386) 761-5883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20458 | Florida |
Profile Details
| NPI number | 1275894560 |
|---|---|
| LBN Legal business name | Bannan, Sean Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2012 |
| Last updated | Oct 9th, 2019 - about 7 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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