Dominique, Paul
Dominique, Paul is an individual health care provider with primary practice located at 16B Felton Pl , Cartersville GA 30120-2152. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Dominique, Paul can be contacted via phone (770) 382-3536.Contact Information
Primary practice address
16B Felton Pl
Cartersville GA 30120-2152
Phone: (770) 382-3536
Fax: (770) 382-1915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN013383 | Georgia |
Profile Details
| NPI number | 1134227705 |
|---|---|
| LBN Legal business name | Dominique, Paul |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 16th, 2016 - about 10 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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