Fries, Jacqueline Marie

Fries, Jacqueline Marie is an individual health care provider with primary practice located at 111 Smithtown Byp Suite 217, Hauppauge NY 11788-2524. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fries, Jacqueline Marie can be contacted via phone (631) 724-0900.

Contact Information

Primary practice address
111 Smithtown Byp Suite 217 Hauppauge NY 11788-2524
Fax: (631) 724-0013
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0379971 New York

Profile Details

NPI number 1528286465
LBN Legal business name Fries, Jacqueline Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 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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