Small, Bethany Sue

Small, Bethany Sue is an individual health care provider with primary practice located at 424 Avon Belden Rd , Avon Lake OH 44012-2295. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Small, Bethany Sue can be contacted via phone (440) 930-5233.

Contact Information

Primary practice address
424 Avon Belden Rd Avon Lake OH 44012-2295
Fax: (440) 930-5234
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20747 Ohio

Profile Details

NPI number 1407928682
LBN Legal business name Small, Bethany Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jun 25th, 2009 - about 17 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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