Servagno, Bernard David
Servagno, Bernard David is an sole proprietor health care provider with primary practice located at 821 Delaware Ave , Fountain Hill PA 18015-1179. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Servagno, Bernard David can be contacted via phone (610) 882-9910.Contact Information
Primary practice address
821 Delaware Ave
Fountain Hill PA 18015-1179
Phone: (610) 882-9910
Fax: (610) 882-1747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | DS025898-L | Pennsylvania |
Profile Details
| NPI number | 1942224555 |
|---|---|
| LBN Legal business name | Servagno, Bernard David |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 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 | 1942224555 | NPPES |
| Pennsylvania | Other | 4652440001 | NAT'L SUPPLIER |
| Pennsylvania | Other | DS025898-L | NAT'L SUPPLIER |
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