Edderai, Jean Jaques

Edderai, Jean Jaques is an sole proprietor health care provider with primary practice located at 17101 Ne 19Th Ave Suite#104, North Miami Beach FL 33162-3159. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Edderai, Jean Jaques can be contacted via phone (305) 947-7999.

Contact Information

Primary practice address
17101 Ne 19Th Ave Suite#104 North Miami Beach FL 33162-3159
Phone: (305) 947-7999
Fax: (305) 949-2913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN12836 Florida
Dental Providers / General Practice 1223G0001X DN12836 Florida

Profile Details

NPI number 1598981227
LBN Legal business name Edderai, Jean Jaques
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1598981227 NPPES
Florida Other DN12836 DENTAL LICENSE NUMBER

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