Degroote, Douglas Forrest
Degroote, Douglas Forrest is an sole proprietor health care provider with primary practice located at 2250 Shipyard Blvd Suite 15, Wilmington NC 28403-8070. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Degroote, Douglas Forrest can be contacted via phone (910) 452-1700.Contact Information
Primary practice address
2250 Shipyard Blvd Suite 15
Wilmington NC 28403-8070
Phone: (910) 452-1700
Fax: (910) 452-3671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4050 | North Carolina |
Profile Details
| NPI number | 1679573976 |
|---|---|
| LBN Legal business name | Degroote, Douglas Forrest |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jan 17th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679573976 | NPPES |
| North Carolina | MEDICAID | 8992089 |
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