Hernandez, Jason
Hernandez, Jason is an individual health care provider with primary practice located at 40 Mansfield Ave , Willimantic CT 06226-2018. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hernandez, Jason can be contacted via phone (860) 450-7471.Contact Information
Primary practice address
40 Mansfield Ave
Willimantic CT 06226-2018
Phone: (860) 450-7471
Fax: (860) 450-9808
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 010829 | Connecticut |
Profile Details
NPI number | 1851688584 |
---|---|
LBN Legal business name | Hernandez, Jason |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2011 |
Last updated | Jun 13th, 2014 - about 11 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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