Brunworth, Jessica Alanna Scully
Brunworth, Jessica Alanna Scully is an sole proprietor health care provider with primary practice located at 1351 Jefferson St Ste 202 , Washington MO 63090-6449. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Brunworth, Jessica Alanna Scully can be contacted via phone (314) 884-0478.Contact Information
Primary practice address
1351 Jefferson St Ste 202
Washington MO 63090-6449
Phone: (314) 884-0478
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2015023903 | Missouri |
| Dental Providers / Periodontics | 1223P0300X | 2015023903 | Missouri |
Profile Details
| NPI number | 1912383217 |
|---|---|
| LBN Legal business name | Brunworth, Jessica Alanna Scully |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2015 |
| Last updated | Nov 12th, 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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