Davidson, Jeremy Blaze
Davidson, Jeremy Blaze is an sole proprietor health care provider with primary practice located at 401 N Great Neck Rd Ste 122 , Virginia Beach VA 23454-4063. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Davidson, Jeremy Blaze can be contacted via phone (757) 962-2499.Contact Information
Primary practice address
401 N Great Neck Rd Ste 122
Virginia Beach VA 23454-4063
Phone: (757) 962-2499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0401412449 | Virginia |
Profile Details
| NPI number | 1811981954 |
|---|---|
| LBN Legal business name | Davidson, Jeremy Blaze |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Apr 25th, 2019 - about 6 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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