Jamison, Philip Ledford

Jamison, Philip Ledford is an sole proprietor health care provider with primary practice located at 571 Cox Rd , Gastonia NC 28054-0632. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jamison, Philip Ledford can be contacted via phone (704) 865-7603.

Contact Information

Primary practice address
571 Cox Rd Gastonia NC 28054-0632
Fax: (704) 865-6411
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5923 North Carolina

Profile Details

NPI number 1154439297
LBN Legal business name Jamison, Philip Ledford
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 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 1154439297 NPPES
North Carolina MEDICAID 8994489
North Carolina Other 94489

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