Doles, Lon R

Doles, Lon R is an individual health care provider with primary practice located at 2320 Cosgrove Ave , Charleston SC 29405-7644. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Doles, Lon R can be contacted via phone (843) 554-5003.

Contact Information

Primary practice address
2320 Cosgrove Ave Charleston SC 29405-7644
Phone: (843) 554-5003
Fax: (843) 745-0003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1927 South Carolina

Profile Details

NPI number 1255491692
LBN Legal business name Doles, Lon R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 11th, 2008 - about 18 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 1255491692 NPPES
South Carolina Other 832713 UNITED CONCORDIA GROUP
South Carolina MEDICAID Z19276 UNITED CONCORDIA GROUP

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