Jennings, Jacob
Jennings, Jacob is an sole proprietor health care provider with primary practice located at 1601 S Second St , Gallup NM 87301-5816. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jennings, Jacob can be contacted via phone (505) 722-4422.Contact Information
Primary practice address
1601 S Second St
Gallup NM 87301-5816
Phone: (505) 722-4422
Fax: (505) 488-2486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD4153 | New Mexico |
Profile Details
| NPI number | 1346644671 |
|---|---|
| LBN Legal business name | Jennings, Jacob |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2014 |
| Last updated | Oct 15th, 2014 - about 11 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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