Jackson, Stephanie Andreya
Jackson, Stephanie Andreya is an individual health care provider with primary practice located at 801 Crestview Ave , Provo UT 84604-4777. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jackson, Stephanie Andreya can be contacted via phone (801) 222-9354.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 13208 | Texas |
| Dental Providers / Dental Hygienist | 124Q00000X | 5908 | Arizona |
| Dental Providers / Dental Hygienist | 124Q00000X | 5655443-0701 | Utah |
Profile Details
| NPI number | 1205045796 |
|---|---|
| LBN Legal business name | Jackson, Stephanie Andreya |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| 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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