Barden, Jon Willis
Barden, Jon Willis is an sole proprietor health care provider with primary practice located at 2406 Bellevue Rd Suite 19, Dublin GA 31021-2842. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Barden, Jon Willis can be contacted via phone (478) 272-7250.Contact Information
Primary practice address
2406 Bellevue Rd Suite 19
Dublin GA 31021-2842
Phone: (478) 272-7250
Fax: (478) 272-7277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7514 | Georgia |
Profile Details
| NPI number | 1316961162 |
|---|---|
| LBN Legal business name | Barden, Jon Willis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316961162 | NPPES |
| Georgia | MEDICAID | 00044316A |
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