Koonce, Samuel G
Koonce, Samuel G is an individual health care provider with primary practice located at 900 Spivey Rd , Whiteville NC 28472. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Koonce, Samuel G can be contacted via phone (910) 642-4529.Contact Information
Primary practice address
900 Spivey Rd
Whiteville NC 28472
Phone: (910) 642-4529
Fax: (910) 642-4354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4365 | North Carolina |
Profile Details
| NPI number | 1720121718 |
|---|---|
| LBN Legal business name | Koonce, Samuel G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720121718 | NPPES |
| North Carolina | MEDICAID | 8995053 |
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