Carl, Jordan Michael
Carl, Jordan Michael is an sole proprietor health care provider with primary practice located at 105 Kathryn Dr Ste A , Lewisville TX 75067-4200. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carl, Jordan Michael can be contacted via phone (972) 221-9136.Contact Information
Primary practice address
105 Kathryn Dr Ste A
Lewisville TX 75067-4200
Phone: (972) 221-9136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 36370 | Texas |
| Dental Providers / General Practice | 1223G0001X | 102441 | California |
Profile Details
| NPI number | 1194218776 |
|---|---|
| LBN Legal business name | Carl, Jordan Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2018 |
| Last updated | Jul 21st, 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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