Nanny, Jackie Dale
Nanny, Jackie Dale is an individual health care provider with primary practice located at 188 Nicaragua St , Beaufort SC 29902-7552. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Nanny, Jackie Dale can be contacted via phone (843) 228-3500.Contact Information
Primary practice address
188 Nicaragua St
Beaufort SC 29902-7552
Phone: (843) 228-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN 8903 | Florida |
Profile Details
| NPI number | 1518950534 |
|---|---|
| LBN Legal business name | Nanny, Jackie Dale |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Sep 14th, 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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