Prins, Ian Nicolas
Prins, Ian Nicolas is an individual health care provider with primary practice located at 10590 Enduring Freedom Dr , Fort Drum NY 13602-5503. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Endodontics is his primary health care specialty. Prins, Ian Nicolas can be contacted via phone (925) 270-8935.Contact Information
Primary practice address
10590 Enduring Freedom Dr
Fort Drum NY 13602-5503
Phone: (925) 270-8935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 103807 | California |
| Dental Providers / Dentist | 122300000X | 103807 | California |
Profile Details
| NPI number | 1700430402 |
|---|---|
| LBN Legal business name | Prins, Ian Nicolas |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2019 |
| Last updated | Jul 18th, 2023 - about 3 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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