Alfred, Jeremy

Alfred, Jeremy is an individual health care provider with primary practice located at 238 Lawrence St , Kilgore TX 75662-2610. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alfred, Jeremy can be contacted via phone (903) 981-0617.

Contact Information

Primary practice address
238 Lawrence St Kilgore TX 75662-2610
Phone: (903) 981-0617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 34132 Texas

Profile Details

NPI number 1528549862
LBN Legal business name Alfred, Jeremy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2018
Last updated Aug 24th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528549862 NPPES
Texas Other 34132 DENTAL LICENSE

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