Ortiz, Jan N

Ortiz, Jan N is an individual health care provider with primary practice located at 700 E Campbell Rd Ste 230 , Richardson TX 75081-2042. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ortiz, Jan N can be contacted via phone (972) 479-1200.

Contact Information

Primary practice address
700 E Campbell Rd Ste 230 Richardson TX 75081-2042
Phone: (972) 479-1200
Fax: (972) 479-1203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 26164 Texas

Profile Details

NPI number 1083808661
LBN Legal business name Ortiz, Jan N
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Oct 21st, 2022 - about 2 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 1083808661 NPPES
Texas MEDICAID 287540301

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