Salem, Justin Peter
Salem, Justin Peter is an individual health care provider with primary practice located at 107 Elm St , Bennington VT 05201-2249. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Salem, Justin Peter can be contacted via phone (802) 447-7147.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 1238 | Vermont |
Profile Details
NPI number | 1558340299 |
---|---|
LBN Legal business name | Salem, Justin Peter |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558340299 | NPPES |
Vermont | MEDICAID | 1005225 |
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