Jacob, Tessie
Jacob, Tessie is an sole proprietor health care provider with primary practice located at 1131 West Street Building#1 Suite#5, Southington CT 06489-6006. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Jacob, Tessie can be contacted via phone (860) 414-6897.Contact Information
Primary practice address
1131 West Street Building#1 Suite#5
Southington CT 06489-6006
Phone: (860) 414-6897
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11465 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | 11465 | Connecticut |
Profile Details
| NPI number | 1477937183 |
|---|---|
| LBN Legal business name | Jacob, Tessie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2015 |
| Last updated | Jul 1st, 2020 - about 5 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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