Austin, Jonathan

Austin, Jonathan is an individual health care provider with primary practice located at 640 S Magnolia St , Lincolnton NC 28092-3736. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Austin, Jonathan can be contacted via phone (704) 732-3336.

Contact Information

Primary practice address
640 S Magnolia St Lincolnton NC 28092-3736
Fax: (704) 735-3637
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10381 North Carolina

Profile Details

NPI number 1508217597
LBN Legal business name Austin, Jonathan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2016
Last updated Mar 17th, 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 1508217597 NPPES
North Carolina MEDICAID 8999385

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