Stevens, Jenny Phung
Stevens, Jenny Phung is an individual health care provider with primary practice located at 1100 Wilford Hall Loop, Bldg 4554 59 Mdw/Sghc, Jbsa Lackland TX 78236-9908. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Stevens, Jenny Phung can be contacted via phone (210) 292-6225.Contact Information
Primary practice address
1100 Wilford Hall Loop, Bldg 4554 59 Mdw/Sghc
Jbsa Lackland TX 78236-9908
Phone: (210) 292-6225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 9833 | North Carolina |
| Dental Providers / Prosthodontics | 1223P0700X | 31724 | Texas |
Profile Details
| NPI number | 1386052538 |
|---|---|
| LBN Legal business name | Stevens, Jenny Phung |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2014 |
| Last updated | May 9th, 2018 - about 6 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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