Criss, Jennifer

Criss, Jennifer is an individual health care provider with primary practice located at 1602 E Starr Ave Suite 203, Nacogdoches TX 75961-4327. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Criss, Jennifer can be contacted via phone (936) 559-7200.

Contact Information

Primary practice address
1602 E Starr Ave Suite 203 Nacogdoches TX 75961-4327
Phone: (936) 559-7200
Fax: (936) 559-7221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 21417 Texas

Profile Details

NPI number 1609865914
LBN Legal business name Criss, Jennifer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated May 13th, 2015 - about 10 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 1609865914 NPPES
Texas MEDICAID 162183102

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