Surjan, Jacob Daniel

Surjan, Jacob Daniel is an individual health care provider with primary practice located at 1000 E Ogden Ave , Naperville IL 60563-8616. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Surjan, Jacob Daniel can be contacted via phone (630) 355-9010.

Contact Information

Primary practice address
1000 E Ogden Ave Naperville IL 60563-8616
Phone: (630) 355-9010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1508064809
LBN Legal business name Surjan, Jacob Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2007
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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