Espaillat, Juan Bautista

Espaillat, Juan Bautista is an sole proprietor health care provider with primary practice located at 286 N Main St Ste 101 , Spring Valley NY 10977-3749. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Espaillat, Juan Bautista can be contacted via phone (845) 426-1619.

Contact Information

Primary practice address
286 N Main St Ste 101 Spring Valley NY 10977-3749
Phone: (845) 426-1619
Fax: (845) 371-2694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050768 New York

Profile Details

NPI number 1194715425
LBN Legal business name Espaillat, Juan Bautista
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Jul 18th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194715425 NPPES
New York MEDICAID 02411952

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