Buenjemia, Jessica
Buenjemia, Jessica is an individual health care provider with primary practice located at 2157 Broadway St , North Bend OR 97459-2329. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Buenjemia, Jessica can be contacted via phone (541) 751-1915.Contact Information
Primary practice address
2157 Broadway St
North Bend OR 97459-2329
Phone: (541) 751-1915
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D8493 | Oregon |
Profile Details
| NPI number | 1710967336 |
|---|---|
| LBN Legal business name | Buenjemia, Jessica |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Dec 29th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710967336 | NPPES |
| Oregon | MEDICAID | 023013 |
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