Hartsog, Jeffery Dale
Hartsog, Jeffery Dale is an individual health care provider with primary practice located at 1437 Old Square Rd , Jackson MS 39211-5535. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hartsog, Jeffery Dale can be contacted via phone (601) 362-1685.Contact Information
Primary practice address
1437 Old Square Rd
Jackson MS 39211-5535
Phone: (601) 362-1685
Fax: (601) 982-9304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2079-84 | Mississippi |
Profile Details
| NPI number | 1518969633 |
|---|---|
| LBN Legal business name | Hartsog, Jeffery Dale |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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