Grove, Dale W
Grove, Dale W is an individual health care provider with primary practice located at 1286 Penn Ave , Wyomissing PA 19610-2130. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grove, Dale W can be contacted via phone (610) 372-8406.Contact Information
Primary practice address
1286 Penn Ave
Wyomissing PA 19610-2130
Phone: (610) 372-8406
Fax: (610) 372-3998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS017881L | Pennsylvania |
Profile Details
| NPI number | 1326196023 |
|---|---|
| LBN Legal business name | Grove, Dale W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326196023 | NPPES |
| Pennsylvania | Other | 159883 | UNITED CONCORDIA PROVIDER |
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