Muckenthaler, Danielle Thea

Muckenthaler, Danielle Thea is an sole proprietor health care provider with primary practice located at 268 Herbert St , Saint Augustine FL 32084-4000. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Muckenthaler, Danielle Thea can be contacted via phone (904) 829-1962.

Contact Information

Primary practice address
268 Herbert St Saint Augustine FL 32084-4000
Phone: (904) 829-1962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901019992 Michigan
Dental Providers / Dentist 122300000X 26226 Florida

Profile Details

NPI number 1427287481
LBN Legal business name Muckenthaler, Danielle Thea
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2009
Last updated Feb 17th, 2022 - about 4 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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