Jimenez, Damian Richard
Jimenez, Damian Richard is an sole proprietor health care provider with primary practice located at 5635 Peachtree Pkwy Suite 100, Norcross GA 30092-2879. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jimenez, Damian Richard can be contacted via phone (404) 990-4595.Contact Information
Primary practice address
5635 Peachtree Pkwy Suite 100
Norcross GA 30092-2879
Phone: (404) 990-4595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN014908 | Georgia |
Profile Details
| NPI number | 1699919126 |
|---|---|
| LBN Legal business name | Jimenez, Damian Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2009 |
| Last updated | Feb 7th, 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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