Jeffery, David E

Jeffery, David E is an individual health care provider with primary practice located at 214 South Third Street , Rogers AR 72756. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jeffery, David E can be contacted via phone (479) 636-4771.

Contact Information

Primary practice address
214 South Third Street Rogers AR 72756
Fax: (479) 636-1401
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2881 Arkansas

Profile Details

NPI number 1316046089
LBN Legal business name Jeffery, David E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1316046089 NPPES
Other 477344 UNITED CONCORDIA
Other 58708 UNITED CONCORDIA
Other 2100686 UNITED CONCORDIA

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