Harrison, Jody Scott

Harrison, Jody Scott is an individual health care provider with primary practice located at 4700 Las Vegas Blvd , Nellis Afb NV 89191-6601. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Harrison, Jody Scott can be contacted via phone (702) 653-3148.

Contact Information

Primary practice address
4700 Las Vegas Blvd Nellis Afb NV 89191-6601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 21129 Texas

Profile Details

NPI number 1285855809
LBN Legal business name Harrison, Jody Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Feb 14th, 2014 - about 10 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.

Request for update

Popular Providers