Junkin, Jonathan Bruce

Junkin, Jonathan Bruce is an individual health care provider with primary practice located at 95 Us Highway 51 Byp W , Dyersburg TN 38024-1935. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Junkin, Jonathan Bruce can be contacted via phone (731) 286-1271.

Contact Information

Primary practice address
95 Us Highway 51 Byp W Dyersburg TN 38024-1935
Phone: (731) 286-1271
Fax: (731) 286-0019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2987 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 2987 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 9318 Tennessee

Profile Details

NPI number 1144297821
LBN Legal business name Junkin, Jonathan Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 13th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144297821 NPPES
Tennessee Other 62-1399728 TAX ID

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