Bledsoe, Jack Darrell
Bledsoe, Jack Darrell is an individual health care provider with primary practice located at 9004 Fern Park Dr # A , Burke VA 22015-1655. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bledsoe, Jack Darrell can be contacted via phone (703) 978-0940.Contact Information
Primary practice address
9004 Fern Park Dr # A
Burke VA 22015-1655
Phone: (703) 978-0940
Fax: (703) 978-0941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0401003077 | Virginia |
Profile Details
| NPI number | 1568595023 |
|---|---|
| LBN Legal business name | Bledsoe, Jack Darrell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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