Jenderseck, Richard Stephen

Jenderseck, Richard Stephen is an sole proprietor health care provider with primary practice located at 1416 Townview Ln , Santa Rosa CA 95405. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jenderseck, Richard Stephen can be contacted via phone (707) 578-3010.

Contact Information

Primary practice address
1416 Townview Ln Santa Rosa CA 95405
Phone: (707) 578-3010
Fax: (707) 578-0343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 30223 California

Profile Details

NPI number 1881812766
LBN Legal business name Jenderseck, Richard Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 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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