Vandeventer, Jeff
Vandeventer, Jeff is an sole proprietor health care provider with primary practice located at 3105 Middle Road Suite A, Columbus IN 47203-4472. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vandeventer, Jeff can be contacted via phone (812) 379-4321.Contact Information
Primary practice address
3105 Middle Road Suite A
Columbus IN 47203-4472
Phone: (812) 379-4321
Fax: (812) 379-1977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11814 | Tennessee |
| Dental Providers / General Practice | 1223G0001X | 12009154 | Indiana |
Profile Details
| NPI number | 1013007491 |
|---|---|
| LBN Legal business name | Vandeventer, Jeff |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013007491 | NPPES |
| Indiana | MEDICAID | 200450770-A |
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