Petrie, David Shane
Petrie, David Shane is an sole proprietor health care provider with primary practice located at 320 N Jeff Davis Dr Ste B , Fayetteville GA 30214-1669. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Petrie, David Shane can be contacted via phone (770) 461-3921.Contact Information
Primary practice address
320 N Jeff Davis Dr Ste B
Fayetteville GA 30214-1669
Phone: (770) 461-3921
Fax: (770) 461-0944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8534 | Georgia |
Profile Details
| NPI number | 1104957521 |
|---|---|
| LBN Legal business name | Petrie, David Shane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| 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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