Jasper, Samuel J.

Jasper, Samuel J. is an individual health care provider with primary practice located at 800 Rose St Rm D104 University Of Kentucky College Of Dentistry, Lexington KY 40536-0297. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Jasper, Samuel J. can be contacted via phone (859) 323-6193.

Contact Information

Primary practice address
800 Rose St Rm D104 University Of Kentucky College Of Dentistry Lexington KY 40536-0297
Phone: (859) 323-6193
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5169 Kentucky
Dental Providers / Periodontics 1223P0300X 5169 Kentucky

Profile Details

NPI number 1316043847
LBN Legal business name Jasper, Samuel J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jan 20th, 2015 - about 9 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 1316043847 NPPES
Kentucky MEDICAID 60051695

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