Durham, Jared

Durham, Jared is an individual health care provider with primary practice located at 1500 S Main St , Ft Worth TX 76104-4917. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Durham, Jared can be contacted via phone (817) 921-3431.

Contact Information

Primary practice address
1500 S Main St Ft Worth TX 76104-4917
Phone: (817) 921-3431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18115 Texas

Profile Details

NPI number 1134258908
LBN Legal business name Durham, Jared
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 23rd, 2008 - about 16 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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