Bass, Jamie Lynn

Bass, Jamie Lynn is an individual health care provider with primary practice located at 4001 N 168Th St , Omaha NE 68116-3203. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bass, Jamie Lynn can be contacted via phone (402) 330-5535.

Contact Information

Primary practice address
4001 N 168Th St Omaha NE 68116-3203
Phone: (402) 330-5535
Fax: (414) 266-5677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7030-15 Wisconsin
Dental Providers / Pediatric Dentistry 1223P0221X 6766 Nebraska

Profile Details

NPI number 1700014354
LBN Legal business name Bass, Jamie Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Nov 6th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700014354 NPPES
Wisconsin MEDICAID 1700014354

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