Peck, Jason Michael

Peck, Jason Michael is an sole proprietor health care provider with primary practice located at 4518 Center St , Deer Park TX 77536-6351. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peck, Jason Michael can be contacted via phone (281) 479-2841.

Contact Information

Primary practice address
4518 Center St Deer Park TX 77536-6351
Phone: (281) 479-2841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 28995 Texas

Profile Details

NPI number 1780021832
LBN Legal business name Peck, Jason Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2013
Last updated May 30th, 2013 - about 11 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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