Riley, Dwight David
Riley, Dwight David is an sole proprietor health care provider with primary practice located at 523 Tanner St , Carrollton GA 30117-3318. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Riley, Dwight David can be contacted via phone (770) 832-2846.Contact Information
Primary practice address
523 Tanner St
Carrollton GA 30117-3318
Phone: (770) 832-2846
Fax: (770) 832-2852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 012269 | Georgia |
Profile Details
| NPI number | 1043347594 |
|---|---|
| LBN Legal business name | Riley, Dwight David |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 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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