Rendon, Jacob Alexander

Rendon, Jacob Alexander is an individual health care provider with primary practice located at 1509 Emerald Pkwy Ste 105 , College Station TX 77845-5502. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rendon, Jacob Alexander can be contacted via phone (979) 696-8681.

Contact Information

Primary practice address
1509 Emerald Pkwy Ste 105 College Station TX 77845-5502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 38895 Texas

Profile Details

NPI number 1124755202
LBN Legal business name Rendon, Jacob Alexander
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2022
Last updated Sep 29th, 2022 - about 2 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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