Donaldson, Jill M
Donaldson, Jill M is an individual health care provider with primary practice located at 2960 E Gause Blvd , Slidell LA 70461. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Donaldson, Jill M can be contacted via phone (985) 641-3988.Contact Information
Primary practice address
2960 E Gause Blvd
Slidell LA 70461
Phone: (985) 641-3988
Fax: (985) 646-2536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5178 | Louisiana |
Profile Details
| NPI number | 1124186226 |
|---|---|
| LBN Legal business name | Donaldson, Jill M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124186226 | NPPES |
| Louisiana | MEDICAID | 1815178 |
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