Dejackmo, Frank
Dejackmo, Frank is an sole proprietor health care provider with primary practice located at 128 Franklin Ave , Nutley NJ 07110-2925. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dejackmo, Frank can be contacted via phone (973) 661-1075.Contact Information
Primary practice address
128 Franklin Ave
Nutley NJ 07110-2925
Phone: (973) 661-1075
Fax: (973) 661-9686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10504 | New Jersey |
Profile Details
| NPI number | 1821012303 |
|---|---|
| LBN Legal business name | Dejackmo, Frank |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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