Cully, Jennifer Lee

Cully, Jennifer Lee is an individual health care provider with primary practice located at 3333 Burnet Ave Ml 2006, Cincinnati OH 45229-3026. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Cully, Jennifer Lee can be contacted via phone (513) 636-4641.

Contact Information

Primary practice address
3333 Burnet Ave Ml 2006 Cincinnati OH 45229-3026
Phone: (513) 636-4641
Fax: (513) 636-8283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22D102410200 New Jersey
Dental Providers / Pediatric Dentistry 1223P0221X DS038483 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X 30.024899 Ohio

Profile Details

NPI number 1720215726
LBN Legal business name Cully, Jennifer Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Sep 16th, 2016 - about 9 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 1720215726 NPPES
New Jersey MEDICAID 0256447

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