Premaraj, Shyamaly
Premaraj, Shyamaly is an sole proprietor health care provider with primary practice located at 2217 Kingsley Ave , Orange Park FL 32073-5115. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Premaraj, Shyamaly can be contacted via phone (904) 272-1165.Contact Information
Primary practice address
2217 Kingsley Ave
Orange Park FL 32073-5115
Phone: (904) 272-1165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN31401 | Florida |
Profile Details
| NPI number | 1972280543 |
|---|---|
| LBN Legal business name | Premaraj, Shyamaly |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2023 |
| Last updated | Aug 5th, 2026 - about 2 months 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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