Earls, Tara

Earls, Tara is an individual health care provider with primary practice located at 285 Sills Rd , East Patchogue NY 11772-4869. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Earls, Tara can be contacted via phone (631) 289-9000.

Contact Information

Primary practice address
285 Sills Rd East Patchogue NY 11772-4869
Phone: (631) 289-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 061952 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1053975037
LBN Legal business name Earls, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Sep 28th, 2021 - about 5 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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