Krull, George E

Krull, George E is an individual health care provider with primary practice located at 6401 Citation Dr Suite A, Clarkston MI 48346-2992. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is his primary health care specialty. Krull, George E can be contacted via phone (248) 625-3603.

Contact Information

Primary practice address
6401 Citation Dr Suite A Clarkston MI 48346-2992
Phone: (248) 625-3603
Fax: (248) 625-7164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12196 Indiana
Dental Providers / Pediatric Dentistry 1223P0221X 2901012196 Indiana

Profile Details

NPI number 1891743043
LBN Legal business name Krull, George E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891743043 NPPES
Michigan MEDICAID 4064991

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