Desantis, James Leonard
Desantis, James Leonard is an sole proprietor health care provider with primary practice located at 535 Columbia Drive , Johnson City NY 13790. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Desantis, James Leonard can be contacted via phone (607) 729-5900.Contact Information
Primary practice address
535 Columbia Drive
Johnson City NY 13790
Phone: (607) 729-5900
Fax: (607) 729-6500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 048526 | New York |
Profile Details
| NPI number | 1295898286 |
|---|---|
| LBN Legal business name | Desantis, James Leonard |
| Credentials | DDS & MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 28th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295898286 | NPPES |
| New York | MEDICAID | 02395297 |
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