Vannortwick, Wallace Taylor
Vannortwick, Wallace Taylor is an sole proprietor health care provider with primary practice located at 7942 Goodwood Blvd , Baton Rouge LA 70806-7629. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Vannortwick, Wallace Taylor can be contacted via phone (225) 925-1517.Contact Information
Primary practice address
7942 Goodwood Blvd
Baton Rouge LA 70806-7629
Phone: (225) 925-1517
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 3211 | Louisiana |
| Dental Providers / Prosthodontics | 1223P0700X | DN 8075 | Florida |
Profile Details
| NPI number | 1427195254 |
|---|---|
| LBN Legal business name | Vannortwick, Wallace Taylor |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 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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