Jackson, Jonathan Matthew
Jackson, Jonathan Matthew is an sole proprietor health care provider with primary practice located at 3501 Terrace St , Pittsburgh PA 15213-2523. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jackson, Jonathan Matthew can be contacted via phone (412) 648-8595.Contact Information
Primary practice address
3501 Terrace St
Pittsburgh PA 15213-2523
Phone: (412) 648-8595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DS043562 | Pennsylvania |
Profile Details
| NPI number | 1891543476 |
|---|---|
| LBN Legal business name | Jackson, Jonathan Matthew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2024 |
| Last updated | May 9th, 2024 - about 7 months 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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