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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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