Nesvold, Jay Allan
Nesvold, Jay Allan is an sole proprietor health care provider with primary practice located at 278 Lafayette Road Bldg E, Portsmouth NH 03801-5455. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / Dental Public Health is his primary health care specialty. Nesvold, Jay Allan can be contacted via phone (603) 430-9009.Contact Information
Primary practice address
278 Lafayette Road Bldg E
Portsmouth NH 03801-5455
Phone: (603) 430-9009
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Public Health | 1223D0001X | 21460 | Massachusetts |
Dental Providers / General Practice | 1223G0001X | 21460 | Massachusetts |
Dental Providers / General Practice | 1223G0001X | 3293 | New Hampshire |
Dental Providers / General Practice | 1223G0001X | D11553 | Minnesota |
Profile Details
NPI number | 1063485654 |
---|---|
LBN Legal business name | Nesvold, Jay Allan |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 13th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063485654 | NPPES |
New Hampshire | MEDICAID | 30303822 | |
New Hampshire | MEDICAID | 1201514 |
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