Small, Granville Anthony
Small, Granville Anthony is an sole proprietor health care provider with primary practice located at 90 Main St , Saranac Lake NY 12983-5735. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Small, Granville Anthony can be contacted via phone (518) 891-0104.Contact Information
Primary practice address
90 Main St
Saranac Lake NY 12983-5735
Phone: (518) 891-0104
Fax: (518) 891-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 051943 | New York |
Profile Details
| NPI number | 1770798399 |
|---|---|
| LBN Legal business name | Small, Granville Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 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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