Williams, Dallas Devere
Williams, Dallas Devere is an sole proprietor health care provider with primary practice located at 1952 Blue Mesa Ct , Loveland CO 80538-4125. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Williams, Dallas Devere can be contacted via phone (970) 635-0400.Contact Information
Primary practice address
1952 Blue Mesa Ct
Loveland CO 80538-4125
Phone: (970) 635-0400
Fax: (970) 635-9171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19353 | Colorado |
Profile Details
| NPI number | 1497936538 |
|---|---|
| LBN Legal business name | Williams, Dallas Devere |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Nov 16th, 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 | 1497936538 | NPPES |
| Colorado | MEDICAID | 01407907 |
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