Trivedi, Jayesh H

Trivedi, Jayesh H is an sole proprietor health care provider with primary practice located at 13406 Rockaway Blvd , Jamaica NY 11420-3021. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Trivedi, Jayesh H can be contacted via phone (718) 529-3300.

Contact Information

Primary practice address
13406 Rockaway Blvd Jamaica NY 11420-3021
Fax: (718) 529-9043
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 032050 New York

Profile Details

NPI number 1396727830
LBN Legal business name Trivedi, Jayesh H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Jul 28th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396727830 NPPES
New York MEDICAID 00294179

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