Derlink, Damian J

Derlink, Damian J is an individual health care provider with primary practice located at 1015 Grove St , Meadville PA 16335-2905. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Derlink, Damian J can be contacted via phone (814) 336-4304.

Contact Information

Primary practice address
1015 Grove St Meadville PA 16335-2905
Phone: (814) 336-4304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS031102L Pennsylvania

Profile Details

NPI number 1023138336
LBN Legal business name Derlink, Damian J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 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 1023138336 NPPES
Pennsylvania Other 1750346805 TYPE 2 NPI
Pennsylvania Other 961361 TYPE 2 NPI

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