Daniel, Jerome S
Daniel, Jerome S is an sole proprietor health care provider with primary practice located at 10590 Enduring Freedom Drive Us Army Dental Activity, Fort Drum NY 13602-5005. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Daniel, Jerome S can be contacted via phone (315) 772-6234.Contact Information
Primary practice address
10590 Enduring Freedom Drive Us Army Dental Activity
Fort Drum NY 13602-5005
Phone: (315) 772-6234
Fax: (315) 774-3558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 039014-1 | New York |
Profile Details
| NPI number | 1720294374 |
|---|---|
| LBN Legal business name | Daniel, Jerome S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Sep 26th, 2012 - about 12 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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