Lake, Jeremy Brian

Lake, Jeremy Brian is an individual health care provider with primary practice located at 755 Scott Cir Bldg 559 , Jbphh HI 96853-5399. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lake, Jeremy Brian can be contacted via phone (808) 448-6371.

Contact Information

Primary practice address
755 Scott Cir Bldg 559 Jbphh HI 96853-5399
Phone: (808) 448-6371
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3792 West Virginia

Profile Details

NPI number 1891981189
LBN Legal business name Lake, Jeremy Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Aug 26th, 2022 - about 2 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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