Sudol, Jonathan C
Sudol, Jonathan C is an individual health care provider with primary practice located at 664 College Hwy , Southwick MA 01077-9260. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Sudol, Jonathan C can be contacted via phone (413) 642-5250.Contact Information
Primary practice address
664 College Hwy
Southwick MA 01077-9260
Phone: (413) 642-5250
Fax: (413) 831-6366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3265 | New Hampshire |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 20461 | Massachusetts |
Profile Details
| NPI number | 1033222583 |
|---|---|
| LBN Legal business name | Sudol, Jonathan C |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | May 11th, 2023 - about 2 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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