Tejeda, Evelyn
Tejeda, Evelyn is an individual health care provider with primary practice located at 1770 Grand Concourse , Bronx NY 10457-5524. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Tejeda, Evelyn can be contacted via phone (718) 901-8110.Contact Information
Primary practice address
1770 Grand Concourse
Bronx NY 10457-5524
Phone: (718) 901-8110
Fax: (718) 901-8121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 046830-1 | New York |
Profile Details
| NPI number | 1811994924 |
|---|---|
| LBN Legal business name | Tejeda, Evelyn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811994924 | NPPES |
| New York | MEDICAID | 02207541 |
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