Stephenson Buffong, Jeannine

Stephenson Buffong, Jeannine is an individual health care provider with primary practice located at 1700 Myrtle Ave 58, Plainfield NJ 07063-1000. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Stephenson Buffong, Jeannine can be contacted via phone (908) 753-6401.

Contact Information

Primary practice address
1700 Myrtle Ave 58 Plainfield NJ 07063-1000
Fax: (908) 226-6743
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI022562 New Jersey

Profile Details

NPI number 1821185612
LBN Legal business name Stephenson Buffong, Jeannine
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 7th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821185612 NPPES
New Jersey MEDICAID 0252212

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