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Contact Information

LAURIE A HOUSWORTH, DDS
8900 SE 165TH MULBERRY LANE
THE VILLAGES VA OUTPATIENT CLINIC
THE VILLAGES, FL32162
 Phone: 352-674-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LAURIE A HOUSWORTH · (Female)

NPI Number 1023088085
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/24/2006
Last updated 06/17/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # HAD7
  • GA License # DN012509
  • FL Medicaid 0767131-00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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