Razzano, Michael Vincent
Razzano, Michael Vincent is an individual health care provider with primary practice located at 12910 Highway 92 Ste 107 , Woodstock GA 30188-4202. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Razzano, Michael Vincent can be contacted via phone (770) 592-2600.Contact Information
Primary practice address
12910 Highway 92 Ste 107
Woodstock GA 30188-4202
Phone: (770) 592-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN011815 | Georgia |
Profile Details
| NPI number | 1780774224 |
|---|---|
| LBN Legal business name | Razzano, Michael Vincent |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780774224 | NPPES |
| Georgia | MEDICAID | 4112547196G |
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