Cork, Donald B

Cork, Donald B is an individual health care provider with primary practice located at 101 Merrill Ave , North Sioux City SD 57049. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cork, Donald B can be contacted via phone (605) 232-8802.

Contact Information

Primary practice address
101 Merrill Ave North Sioux City SD 57049
Phone: (605) 232-8802
Fax: (605) 232-0973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M847 South Dakota

Profile Details

NPI number 1346322716
LBN Legal business name Cork, Donald B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
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 1346322716 NPPES
Nebraska MEDICAID 46044478613
Nebraska MEDICAID 46044478600
Nebraska MEDICAID 0989517

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