Juson, Jeremiah Edillor

Juson, Jeremiah Edillor is an individual health care provider with primary practice located at 2301 Queens Plz N Ste C , Long Island City NY 11101. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Juson, Jeremiah Edillor can be contacted via phone (508) 679-8111.

Contact Information

Primary practice address
2301 Queens Plz N Ste C Long Island City NY 11101
Phone: (508) 679-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DL11820 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DL11820 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 059613 New York

Profile Details

NPI number 1265766315
LBN Legal business name Juson, Jeremiah Edillor
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2009
Last updated Mar 7th, 2023 - about last year

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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