Jagger, William J.

Jagger, William J. is an individual health care provider with primary practice located at 510 Colorado Ave , Pueblo CO 81004-2013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jagger, William J. can be contacted via phone (719) 543-1132.

Contact Information

Primary practice address
510 Colorado Ave Pueblo CO 81004-2013
Phone: (719) 543-1132
Fax: (719) 543-1132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2594 Colorado

Profile Details

NPI number 1598716284
LBN Legal business name Jagger, William J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 9th, 2007 - about 17 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 1598716284 NPPES
Colorado MEDICAID 02025948
Colorado Other 813547

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