Innis, Paul G.

Innis, Paul G. is an individual health care provider with primary practice located at 1901 Prospector Ave , Park City UT 84060-7207. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Innis, Paul G. can be contacted via phone (435) 649-6332.

Contact Information

Primary practice address
1901 Prospector Ave Park City UT 84060-7207
Fax: (435) 649-3144
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 144608-9922 Utah

Profile Details

NPI number 1871709790
LBN Legal business name Innis, Paul G.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 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.

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