Thai, Jessica

Thai, Jessica is an individual health care provider with primary practice located at 25055 Riding Plz Ste 110 , Chantilly VA 20152-5918. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Thai, Jessica can be contacted via phone (703) 722-2900.

Contact Information

Primary practice address
25055 Riding Plz Ste 110 Chantilly VA 20152-5918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0401416212 Virginia

Profile Details

NPI number 1912473505
LBN Legal business name Thai, Jessica
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Mar 15th, 2020 - about 4 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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