Widner, Dane B
Widner, Dane B is an sole proprietor health care provider with primary practice located at 142 W Spring St , Saint Marys OH 45885-2312. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Widner, Dane B can be contacted via phone (419) 394-5178.Contact Information
Primary practice address
142 W Spring St
Saint Marys OH 45885-2312
Phone: (419) 394-5178
Fax: (419) 394-7648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 16251 | Ohio |
Profile Details
| NPI number | 1881743334 |
|---|---|
| LBN Legal business name | Widner, Dane B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881743334 | NPPES |
| Ohio | MEDICAID | 0404520 |
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