St Hill, Wayne William

St Hill, Wayne William is an individual health care provider with primary practice located at 10 Gagnon Drive Rte 209, Stone Ridge NY 12484. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. St Hill, Wayne William can be contacted via phone (845) 687-0600.

Contact Information

Primary practice address
10 Gagnon Drive Rte 209 Stone Ridge NY 12484
Fax: (845) 687-7296
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 034680 New York

Profile Details

NPI number 1417967530
LBN Legal business name St Hill, Wayne William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417967530 NPPES
New York MEDICAID 00465316

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