Leavins, Jerry Dwayne
Leavins, Jerry Dwayne is an sole proprietor health care provider with primary practice located at 180 W Bolivar St , Vidor TX 77662-4849. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leavins, Jerry Dwayne can be contacted via phone (409) 769-5438.Contact Information
Primary practice address
180 W Bolivar St
Vidor TX 77662-4849
Phone: (409) 769-5438
Fax: (409) 769-2849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10901 | Texas |
Profile Details
| NPI number | 1679623052 |
|---|---|
| LBN Legal business name | Leavins, Jerry Dwayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| 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.
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