Southeard, Jessica Marie
Southeard, Jessica Marie is an individual health care provider with primary practice located at 10205 N Riva Ridge Loop , Fort Drum NY 13602-5457. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Southeard, Jessica Marie can be contacted via phone (315) 772-8843.Contact Information
Primary practice address
10205 N Riva Ridge Loop
Fort Drum NY 13602-5457
Phone: (315) 772-8843
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 7426 C1 | Alabama |
Profile Details
| NPI number | 1851650287 |
|---|---|
| LBN Legal business name | Southeard, Jessica Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2012 |
| Last updated | Jul 22nd, 2013 - about 12 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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