Collins, Dale W

Collins, Dale W is an individual health care provider with primary practice located at 242 Noble Rd , Clarks Summit PA 18411-9406. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Collins, Dale W can be contacted via phone (570) 586-1411.

Contact Information

Primary practice address
242 Noble Rd Clarks Summit PA 18411-9406
Phone: (570) 586-1411
Fax: (570) 586-1431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DSO16132 Pennsylvania
Dental Providers / General Practice 1223G0001X DSO36126 Pennsylvania

Profile Details

NPI number 1962541722
LBN Legal business name Collins, Dale W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 19 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 1962541722 NPPES
Pennsylvania MEDICAID 0005267570001

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