Czerepak, Jonathan Leslie

Czerepak, Jonathan Leslie is an individual health care provider with primary practice located at 2716 Rielly Road , Fort NC 28310-7302. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Czerepak, Jonathan Leslie can be contacted via phone (910) 643-2196.

Contact Information

Primary practice address
2716 Rielly Road Fort NC 28310-7302
Phone: (910) 643-2196
Fax: (910) 396-7017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN1856104 Massachusetts
Dental Providers / Dentist 122300000X DN1856104 Massachusetts
Dental Providers / General Practice 1223G0001X DN1856104 Massachusetts

Profile Details

NPI number 1861740722
LBN Legal business name Czerepak, Jonathan Leslie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Aug 22nd, 2017 - about 7 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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