Hintz, Jason Lee

Hintz, Jason Lee is an individual health care provider with primary practice located at 327 N Cedar Ave , Cookeville TN 38501-2420. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hintz, Jason Lee can be contacted via phone (931) 528-5105.

Contact Information

Primary practice address
327 N Cedar Ave Cookeville TN 38501-2420
Phone: (931) 528-5105
Fax: (931) 528-5118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8534 Tennessee

Profile Details

NPI number 1164509493
LBN Legal business name Hintz, Jason Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1164509493 NPPES
Tennessee MEDICAID 5440848

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