Meehan, James S

Meehan, James S is an sole proprietor health care provider with primary practice located at 110 Bloomfield Ave West Essex Dental Group, Caldwell NJ 07006-5336. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Meehan, James S can be contacted via phone (973) 228-5515.

Contact Information

Primary practice address
110 Bloomfield Ave West Essex Dental Group Caldwell NJ 07006-5336
Phone: (973) 228-5515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22D100908000 New Jersey

Profile Details

NPI number 1063566370
LBN Legal business name Meehan, James S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063566370 NPPES
New Jersey MEDICAID 0113182

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