Beitz, Jill Therese

Beitz, Jill Therese is an sole proprietor health care provider with primary practice located at 4608 Westfield Ave , Pennsauken NJ 08110-3030. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is her primary health care specialty. Beitz, Jill Therese can be contacted via phone (856) 910-0400.

Contact Information

Primary practice address
4608 Westfield Ave Pennsauken NJ 08110-3030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DI02648200 New Jersey
Dental Providers / Dentist 122300000X DI02648201 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1922489970
LBN Legal business name Beitz, Jill Therese
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2015
Last updated Oct 10th, 2016 - about 10 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.

Request for update

Popular Providers