Putney, Jennifer

Putney, Jennifer is an individual health care provider with primary practice located at 5814 Nectar Ave , Hemet CA 92544-4552. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Putney, Jennifer can be contacted via phone (951) 426-3534.

Contact Information

Primary practice address
5814 Nectar Ave Hemet CA 92544-4552
Phone: (951) 426-3534
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA73563 California

Profile Details

NPI number 1417492935
LBN Legal business name Putney, Jennifer
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 20th, 2016 - about 9 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 1417492935 NPPES
California MEDICAID RDA73563

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