Lively, Dustin Curt
Lively, Dustin Curt is an individual health care provider with primary practice located at 230 E Jefferson St , Mangum OK 73554-4202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lively, Dustin Curt can be contacted via phone (580) 782-2552.Contact Information
Primary practice address
230 E Jefferson St
Mangum OK 73554-4202
Phone: (580) 782-2552
Fax: (580) 782-9266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5327 | Oklahoma |
Profile Details
| NPI number | 1073527933 |
|---|---|
| LBN Legal business name | Lively, Dustin Curt |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | May 14th, 2019 - about 7 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.
Popular Providers
-
James, Sue
9351 Grant St Ste 340, Denver CO 80229-4365 -
Macrobert, James Andrew
230 E Jefferson St , Mangum OK 73554-4202 -
Moskowitz, Steven A.
1517 Packer Ave , Philadelphia PA 19145-4910 -
Alvarado, Frank A.
2850 Artesia Blvd Ste 210, Redondo Beach CA 90278-3413 -
Ambrose, James K.
1410 1/2 N Louis Tittle Ave , Mangum OK 73554-2218 -
Rose, Robert Carmen
995 Old Eagle School Rd Suite 305, Wayne PA 19087-1709 -
Zabek, Gregory S.
490 Post St Ste 404, San Francisco CA 94102-1405 -
Raiber, Robert Brian
630 5Th Ave , New York NY 10111-0100