Collett, Jared Ralph

Collett, Jared Ralph is an individual health care provider with primary practice located at 8960 Brown Drive Bldg 9, Floor 2, Bethesda MD 20889-5629. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Collett, Jared Ralph can be contacted via phone (301) 400-2060.

Contact Information

Primary practice address
8960 Brown Drive Bldg 9, Floor 2 Bethesda MD 20889-5629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60034324 Washington
Dental Providers / Dentist 122300000X D011535 Arizona

Profile Details

NPI number 1427210780
LBN Legal business name Collett, Jared Ralph
Credentials DMD, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Aug 2nd, 2022 - 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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