Parker, Jeremy Wayne
Parker, Jeremy Wayne is an sole proprietor health care provider with primary practice located at 4299 Popps Ferry Rd , Diberville MS 39540-2363. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Parker, Jeremy Wayne can be contacted via phone (228) 392-0509.Contact Information
Primary practice address
4299 Popps Ferry Rd
Diberville MS 39540-2363
Phone: (228) 392-0509
Fax: (228) 392-8709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3553-10 | Mississippi |
Profile Details
| NPI number | 1265744510 |
|---|---|
| LBN Legal business name | Parker, Jeremy Wayne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2010 |
| Last updated | Jun 4th, 2021 - about 4 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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