Delice, Stephanie M
Delice, Stephanie M is an sole proprietor health care provider with primary practice located at 3579 Highway 138 Suite 202, Stockbridge GA 30281-4142. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Delice, Stephanie M can be contacted via phone (770) 474-6111.Contact Information
Primary practice address
3579 Highway 138 Suite 202
Stockbridge GA 30281-4142
Phone: (770) 474-6111
Fax: (770) 474-5897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 06-16020 | Georgia |
Profile Details
| NPI number | 1376572271 |
|---|---|
| LBN Legal business name | Delice, Stephanie M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376572271 | NPPES |
| Georgia | MEDICAID | 000925064C |
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