Chowdhury, Jyoti Prakash

Chowdhury, Jyoti Prakash is an sole proprietor health care provider with primary practice located at 239 E San Marnan Dr , Waterloo IA 50702-5839. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chowdhury, Jyoti Prakash can be contacted via phone (319) 321-5075.

Contact Information

Primary practice address
239 E San Marnan Dr Waterloo IA 50702-5839
Fax: (319) 234-2882
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 08281 Iowa

Profile Details

NPI number 1083699474
LBN Legal business name Chowdhury, Jyoti Prakash
Credentials BDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Jul 21st, 2008 - about 17 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 1083699474 NPPES
Iowa MEDICAID 0076372

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