Mcdougall, Kenneth Dale
Mcdougall, Kenneth Dale is an sole proprietor health care provider with primary practice located at 815 1St Ave S , Jamestown ND 58401-4746. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcdougall, Kenneth Dale can be contacted via phone (701) 251-2240.Contact Information
Primary practice address
815 1St Ave S
Jamestown ND 58401-4746
Phone: (701) 251-2240
Fax: (701) 952-9487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1668 | North Dakota |
Profile Details
| NPI number | 1407951056 |
|---|---|
| LBN Legal business name | Mcdougall, Kenneth Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 9th, 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 | 1407951056 | NPPES |
| North Dakota | MEDICAID | 40814 |
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