Bolletta, Jordan

Bolletta, Jordan is an individual health care provider with primary practice located at 5725 Williams Dr Ste 101 , Georgetown TX 78633-2216. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bolletta, Jordan can be contacted via phone (512) 863-7777.

Contact Information

Primary practice address
5725 Williams Dr Ste 101 Georgetown TX 78633-2216
Phone: (512) 863-7777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 37434 Texas

Profile Details

NPI number 1992376628
LBN Legal business name Bolletta, Jordan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2021
Last updated Jul 4th, 2021 - about 3 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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