Iddings, John Randolph
Iddings, John Randolph is an individual health care provider with primary practice located at Vamc 10 North Greene St Dental Service, Baltimore MD 21201-1524. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Iddings, John Randolph can be contacted via phone (410) 605-7057.Contact Information
Primary practice address
Vamc 10 North Greene St Dental Service
Baltimore MD 21201-1524
Phone: (410) 605-7057
Fax: (410) 605-7819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 4171 | Maryland |
Profile Details
| NPI number | 1417908179 |
|---|---|
| LBN Legal business name | Iddings, John Randolph |
| Credentials | DDS0 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 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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