Wagoner, Carolyn Bean
Wagoner, Carolyn Bean is an individual health care provider with primary practice located at 259 Hydraulic Ridge Rd Suite # 101, Charlottesville VA 22901-8128. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wagoner, Carolyn Bean can be contacted via phone (434) 293-9300.Contact Information
Primary practice address
259 Hydraulic Ridge Rd Suite # 101
Charlottesville VA 22901-8128
Phone: (434) 293-9300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401008312 | Virginia |
Profile Details
| NPI number | 1598731408 |
|---|---|
| LBN Legal business name | Wagoner, Carolyn Bean |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | May 30th, 2011 - about 15 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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