Nordgren, Ellen Diane

Nordgren, Ellen Diane is an individual health care provider with primary practice located at 2720 Graves Dr , Goldsboro NC 27534-4512. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Nordgren, Ellen Diane can be contacted via phone (919) 778-0098.

Contact Information

Primary practice address
2720 Graves Dr Goldsboro NC 27534-4512
Phone: (919) 778-0098
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12705 Minnesota
Dental Providers / Dentist 122300000X 9263 North Carolina

Profile Details

NPI number 1942437033
LBN Legal business name Nordgren, Ellen Diane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Nov 6th, 2013 - about 13 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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