Macintyre, Roderick M

Macintyre, Roderick M is an sole proprietor health care provider with primary practice located at 912 S Ridgewood Ave Suite C, Daytona Beach FL 32114-5349. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Macintyre, Roderick M can be contacted via phone (386) 252-0858.

Contact Information

Primary practice address
912 S Ridgewood Ave Suite C Daytona Beach FL 32114-5349
Phone: (386) 252-0858
Fax: (386) 253-7004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN12743 Florida

Profile Details

NPI number 1770597411
LBN Legal business name Macintyre, Roderick M
Credentials D.M.D.; M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 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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