Abbott, Jacob Clifford

Abbott, Jacob Clifford is an sole proprietor health care provider with primary practice located at 8461 Boat Club Rd , Fort Worth TX 76179. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Abbott, Jacob Clifford can be contacted via phone (817) 236-8771.

Contact Information

Primary practice address
8461 Boat Club Rd Fort Worth TX 76179
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 32091 Texas

Profile Details

NPI number 1134675770
LBN Legal business name Abbott, Jacob Clifford
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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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