Bukzin, Jay Meyer

Bukzin, Jay Meyer is an individual health care provider with primary practice located at 7915 Lake Manassas Drive Suite 115, Gainesville VA 20155. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bukzin, Jay Meyer can be contacted via phone (703) 753-7933.

Contact Information

Primary practice address
7915 Lake Manassas Drive Suite 115 Gainesville VA 20155
Phone: (703) 753-7933
Fax: (703) 743-9089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X G10001119 Delaware
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI02247000 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401411256 Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS035695 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8416 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0438000212 Virginia

Profile Details

NPI number 1740364066
LBN Legal business name Bukzin, Jay Meyer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jun 10th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740364066 NPPES
Pennsylvania MEDICAID 1008449880002

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