Javier, Jose Luis

Javier, Jose Luis is an individual health care provider with primary practice located at 2084 Ne Professional Ct , Bend OR 97701. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Javier, Jose Luis can be contacted via phone (541) 383-3005.

Contact Information

Primary practice address
2084 Ne Professional Ct Bend OR 97701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D9037 Oregon

Profile Details

NPI number 1356448351
LBN Legal business name Javier, Jose Luis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 6th, 2021 - about 3 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 1356448351 NPPES
Wisconsin MEDICAID 33735200

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