Dutton, Ethan
Dutton, Ethan is an individual health care provider with primary practice located at 7690 Highway 72 W Ste 101 , Madison AL 35758-9593. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dutton, Ethan can be contacted via phone (256) 864-2739.Contact Information
Primary practice address
7690 Highway 72 W Ste 101
Madison AL 35758-9593
Phone: (256) 864-2739
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 006831AL | Alabama |
Profile Details
| NPI number | 1881296259 |
|---|---|
| LBN Legal business name | Dutton, Ethan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2020 |
| Last updated | Nov 11th, 2020 - about 6 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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