Perry, Jacob

Perry, Jacob is an sole proprietor health care provider with primary practice located at 10 Riverwood Dr Ste A , Crestview FL 32536-5017. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Perry, Jacob can be contacted via phone (801) 319-3219.

Contact Information

Primary practice address
10 Riverwood Dr Ste A Crestview FL 32536-5017
Phone: (801) 319-3219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN25231 Florida

Profile Details

NPI number 1801406129
LBN Legal business name Perry, Jacob
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2020
Last updated Aug 1st, 2020 - about 5 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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