Slyby, David
Slyby, David is an sole proprietor health care provider with primary practice located at 4606 E State Blvd B, Fort Wayne IN 46815-6993. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Slyby, David can be contacted via phone (260) 484-0725.Contact Information
Primary practice address
4606 E State Blvd B
Fort Wayne IN 46815-6993
Phone: (260) 484-0725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010192 | Indiana |
Profile Details
| NPI number | 1134466279 |
|---|---|
| LBN Legal business name | Slyby, David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2013 |
| Last updated | Jan 9th, 2013 - about 13 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 | 1134466279 | NPPES |
| Indiana | MEDICAID | 200258780A |
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