Jones, Ethan Young
Jones, Ethan Young is an individual health care provider with primary practice located at 1001 E Stuart Drive , Galax VA 24333. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Jones, Ethan Young can be contacted via phone (276) 236-0562.Contact Information
Primary practice address
1001 E Stuart Drive
Galax VA 24333
Phone: (276) 236-0562
Fax: (276) 236-0858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 7909 | Virginia |
Profile Details
| NPI number | 1497858872 |
|---|---|
| LBN Legal business name | Jones, Ethan Young |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497858872 | NPPES |
| North Carolina | MEDICAID | 899008L | |
| North Carolina | Other | 743169 |
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