Holderness, Russell Lane
Holderness, Russell Lane is an individual health care provider with primary practice located at 100 Lake Traverse Dr , Sisseton SD 57262-7046. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Holderness, Russell Lane can be contacted via phone (605) 698-7606.Contact Information
Primary practice address
100 Lake Traverse Dr
Sisseton SD 57262-7046
Phone: (605) 698-7606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8865 | North Carolina |
Profile Details
| NPI number | 1679808166 |
|---|---|
| LBN Legal business name | Holderness, Russell Lane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2009 |
| Last updated | May 5th, 2021 - about 4 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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