Andersen, Jacob Dean

Andersen, Jacob Dean is an sole proprietor health care provider with primary practice located at 6264 S Fm 14 , Hawkins TX 75765-4844. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Andersen, Jacob Dean can be contacted via phone (903) 769-1606.

Contact Information

Primary practice address
6264 S Fm 14 Hawkins TX 75765-4844
Phone: (903) 769-1606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 00000 Nevada
Dental Providers / Dentist 122300000X 38676 Texas

Profile Details

NPI number 1174109789
LBN Legal business name Andersen, Jacob Dean
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2021
Last updated Sep 1st, 2022 - about 2 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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