Judd, Jacob

Judd, Jacob is an individual health care provider with primary practice located at 7721 W 21St St N , Wichita KS 67205-1737. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Judd, Jacob can be contacted via phone (316) 681-1099.

Contact Information

Primary practice address
7721 W 21St St N Wichita KS 67205-1737
Phone: (316) 681-1099
Fax: (316) 613-2417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 62079 Kansas
Dental Providers / Dentist 122300000X 22DI02950800 New Jersey
Dental Providers / Endodontics 1223E0200X 929 Kansas

Profile Details

NPI number 1295416139
LBN Legal business name Judd, Jacob
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2023
Last updated Jul 16th, 2024 - about 5 months 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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