Flack, David O

Flack, David O is an individual health care provider with primary practice located at 5035 S Kipling Pkwy Ste B-2, Littleton CO 80127-7931. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Flack, David O can be contacted via phone (614) 738-1035.

Contact Information

Primary practice address
5035 S Kipling Pkwy Ste B-2 Littleton CO 80127-7931
Phone: (614) 738-1035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9897 Colorado
Dental Providers / General Practice 1223G0001X 022402 Ohio

Profile Details

NPI number 1063636686
LBN Legal business name Flack, David O
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063636686 NPPES
Ohio MEDICAID 2671998

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