Colter, Jennifer Diane

Colter, Jennifer Diane is an individual health care provider with primary practice located at 5211 Forest Ln Ste 127 , Dallas TX 75244-8038. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Colter, Jennifer Diane can be contacted via phone (972) 233-4439.

Contact Information

Primary practice address
5211 Forest Ln Ste 127 Dallas TX 75244-8038
Phone: (972) 233-4439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 20111 Texas

Profile Details

NPI number 1881742393
LBN Legal business name Colter, Jennifer Diane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881742393 NPPES
Texas Other G60008-1 CHIP PROVIDER NUMBER
Texas MEDICAID 1747685 CHIP PROVIDER NUMBER
Texas Other 0033BT CHIP PROVIDER NUMBER

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