Enzler, Jay L

Enzler, Jay L is an individual health care provider with primary practice located at 9302 N Colton St Suite 100, Spokane WA 99218. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Enzler, Jay L can be contacted via phone (509) 863-9460.

Contact Information

Primary practice address
9302 N Colton St Suite 100 Spokane WA 99218
Phone: (509) 863-9460
Fax: (509) 868-0428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8154 Washington
Dental Providers / Dentist 122300000X 8154 Washington

Profile Details

NPI number 1710057021
LBN Legal business name Enzler, Jay L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
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 1710057021 NPPES
Washington Other 8154 STATE PROVIDER #
Washington MEDICAID 5055645 STATE PROVIDER #

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