King, Louise Desjardins
King, Louise Desjardins is an sole proprietor health care provider with primary practice located at 151 State St , Bangor ME 04401-5319. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. King, Louise Desjardins can be contacted via phone (207) 945-6036.Contact Information
Primary practice address
151 State St
Bangor ME 04401-5319
Phone: (207) 945-6036
Fax: (207) 942-1548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3666 | Maine |
Profile Details
| NPI number | 1073693446 |
|---|---|
| LBN Legal business name | King, Louise Desjardins |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073693446 | NPPES |
| Maine | Other | 3666 | MAINE DENTAL LICENSE |
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