Yeargan, Jody Lane

Yeargan, Jody Lane is an individual health care provider with primary practice located at 545 E Johnson St , Fond Du Lac WI 54935-2856. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Yeargan, Jody Lane can be contacted via phone (920) 924-9090.

Contact Information

Primary practice address
545 E Johnson St Fond Du Lac WI 54935-2856
Phone: (920) 924-9090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10602 Virginia
Dental Providers / General Practice 1223G0001X 1002693 Wisconsin

Profile Details

NPI number 1568525533
LBN Legal business name Yeargan, Jody Lane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 15th, 2023 - about last year

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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