Hennes, Jerrold Alan

Hennes, Jerrold Alan is an sole proprietor health care provider with primary practice located at 1950 Shadowridge Dr # A , Vista CA 92081-9006. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hennes, Jerrold Alan can be contacted via phone (760) 598-1707.

Contact Information

Primary practice address
1950 Shadowridge Dr # A Vista CA 92081-9006
Fax: (760) 598-2907
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 34494 California

Profile Details

NPI number 1487243051
LBN Legal business name Hennes, Jerrold Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2021
Last updated Jan 18th, 2021 - about 4 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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