Standlee, Jacky Clay
Standlee, Jacky Clay is an sole proprietor health care provider with primary practice located at Westside Dental 994 Diamond Ridge Ste 202, Jefferson City MO 65109. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Standlee, Jacky Clay can be contacted via phone (573) 893-4402.Contact Information
Primary practice address
Westside Dental 994 Diamond Ridge Ste 202
Jefferson City MO 65109
Phone: (573) 893-4402
Fax: (573) 632-4398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 014960 | Missouri |
Profile Details
| NPI number | 1265442107 |
|---|---|
| LBN Legal business name | Standlee, Jacky Clay |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 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.
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