Haeussner, Theodore Daniel

Haeussner, Theodore Daniel is an sole proprietor health care provider with primary practice located at 4 Saint Johns Medical Pk Dr , Saint Augustine FL 32086-5298. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Haeussner, Theodore Daniel can be contacted via phone (904) 797-9009.

Contact Information

Primary practice address
4 Saint Johns Medical Pk Dr Saint Augustine FL 32086-5298
Phone: (904) 797-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN16354 Florida

Profile Details

NPI number 1033270715
LBN Legal business name Haeussner, Theodore Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
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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