Gridley, Jesse R
Gridley, Jesse R is an individual health care provider with primary practice located at 1885 Waite St , North Bend OR 97459-1210. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gridley, Jesse R can be contacted via phone (541) 756-1117.Contact Information
Primary practice address
1885 Waite St
North Bend OR 97459-1210
Phone: (541) 756-1117
Fax: (541) 756-3811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D9466 | Oregon |
Profile Details
| NPI number | 1821398223 |
|---|---|
| LBN Legal business name | Gridley, Jesse R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2010 |
| Last updated | Nov 1st, 2010 - about 14 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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