Davoren, Paul Leo

Davoren, Paul Leo is an individual health care provider with primary practice located at 157 Town Ave , Plainfield VT 05667-0320. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Davoren, Paul Leo can be contacted via phone (802) 454-1057.

Contact Information

Primary practice address
157 Town Ave Plainfield VT 05667-0320
Phone: (802) 454-1057
Fax: (802) 454-8339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0160000796 Vermont

Profile Details

NPI number 1487769659
LBN Legal business name Davoren, Paul Leo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 6th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487769659 NPPES
Vermont MEDICAID 0002419

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