Redd, Jerry Stanley
Redd, Jerry Stanley is an sole proprietor health care provider with primary practice located at 1620 Valle Vista Ave Ste 200 , Vallejo CA 94589-2887. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Redd, Jerry Stanley can be contacted via phone (707) 552-4940.Contact Information
Primary practice address
1620 Valle Vista Ave Ste 200
Vallejo CA 94589-2887
Phone: (707) 552-4940
Fax: (707) 552-7049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 23236 | California |
Profile Details
| NPI number | 1740313881 |
|---|---|
| LBN Legal business name | Redd, Jerry Stanley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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