Lide, Jeffrey Scott

Lide, Jeffrey Scott is an sole proprietor health care provider with primary practice located at 330 Municipal Dr Ste 100, Richardson TX 75080-3541. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lide, Jeffrey Scott can be contacted via phone (972) 479-0477.

Contact Information

Primary practice address
330 Municipal Dr Ste 100 Richardson TX 75080-3541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X TX18133 Texas

Profile Details

NPI number 1508914011
LBN Legal business name Lide, Jeffrey Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 18 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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