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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers