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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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