Donnelly, Devan Marie
Donnelly, Devan Marie is an individual health care provider with primary practice located at 109 E Main St , Elk Point SD 57025-2310. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Donnelly, Devan Marie can be contacted via phone (605) 356-2271.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DDS-09537 | Iowa |
Profile Details
| NPI number | 1669963369 |
|---|---|
| LBN Legal business name | Donnelly, Devan Marie |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2018 |
| Last updated | Feb 9th, 2023 - about 3 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 | 1669963369 | NPPES |
| South Dakota | Other | D1201 | SOUTH DAKOTA DENTAL BOARD |
| South Dakota | Other | DDS-09537 | SOUTH DAKOTA DENTAL BOARD |
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