Etheridge, Daniel M

Etheridge, Daniel M is an individual health care provider with primary practice located at 1059 Eden Way N Ste 100 , Chesapeake VA 23320-2789. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Etheridge, Daniel M can be contacted via phone (757) 547-2266.

Contact Information

Primary practice address
1059 Eden Way N Ste 100 Chesapeake VA 23320-2789
Phone: (757) 547-2266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401006341 Virginia

Profile Details

NPI number 1326174343
LBN Legal business name Etheridge, Daniel M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 19 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 1326174343 NPPES
Other 504368 UNITED CONCORDIA
Other 010397 UNITED CONCORDIA
Other 6341 UNITED CONCORDIA

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