Wylam, Jay M
Wylam, Jay M is an individual health care provider with primary practice located at 2605 12Th Pl Se , Salem OR 97302-2576. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Wylam, Jay M can be contacted via phone (503) 585-4281.Contact Information
Primary practice address
2605 12Th Pl Se
Salem OR 97302-2576
Phone: (503) 585-4281
Fax: (503) 585-7427
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 6637 | Oregon |
Profile Details
NPI number | 1699773770 |
---|---|
LBN Legal business name | Wylam, Jay M |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 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.
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