Jackson, Zachary Jacob
Jackson, Zachary Jacob is an individual health care provider with primary practice located at Joel Dental Clinic Bldg M4861 Logistics Ave , Fort Liberty NC 28310-7500. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Jackson, Zachary Jacob can be contacted via phone (910) 907-9060.Contact Information
Primary practice address
Joel Dental Clinic Bldg M4861 Logistics Ave
Fort Liberty NC 28310-7500
Phone: (910) 907-9060
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 192325 | Alaska |
Dental Providers / Dentist | 122300000X | D11316 | Oregon |
Profile Details
NPI number | 1548874274 |
---|---|
LBN Legal business name | Jackson, Zachary Jacob |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2020 |
Last updated | Dec 14th, 2023 - about 2 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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