Fandel, Jay Edward

Fandel, Jay Edward is an individual health care provider with primary practice located at 2102 Pecos St Ste 1 , San Angelo TX 76901-3061. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fandel, Jay Edward can be contacted via phone (325) 944-4984.

Contact Information

Primary practice address
2102 Pecos St Ste 1 San Angelo TX 76901-3061
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2612-91 Mississippi

Profile Details

NPI number 1417040940
LBN Legal business name Fandel, Jay Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Sep 22nd, 2022 - about 2 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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