Wade-Crear, Latonya
Wade-Crear, Latonya is an individual health care provider with primary practice located at 8180 Mall Pkwy Suite 810, Lithonia GA 30038-6911. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wade-Crear, Latonya can be contacted via phone (770) 484-4994.Contact Information
Primary practice address
8180 Mall Pkwy Suite 810
Lithonia GA 30038-6911
Phone: (770) 484-4994
Fax: (770) 484-4575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012877 | Georgia |
Profile Details
| NPI number | 1831224153 |
|---|---|
| LBN Legal business name | Wade-Crear, Latonya |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Mar 31st, 2017 - about 9 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 | 1831224153 | NPPES |
| Georgia | MEDICAID | 785926443C |
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