Carson, Jeremy Patrick

Carson, Jeremy Patrick is an individual health care provider with primary practice located at 18555 N 59Th Ave Suite 127, Glendale AZ 85308-1255. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carson, Jeremy Patrick can be contacted via phone (602) 588-7777.

Contact Information

Primary practice address
18555 N 59Th Ave Suite 127 Glendale AZ 85308-1255
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5467 Arizona

Profile Details

NPI number 1588624266
LBN Legal business name Carson, Jeremy Patrick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Oct 24th, 2007 - about 18 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