Blades, Jacee

Blades, Jacee is an individual health care provider with primary practice located at 2030 N Causeway Blvd , Mandeville LA 70471-3116. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Blades, Jacee can be contacted via phone (985) 626-3338.

Contact Information

Primary practice address
2030 N Causeway Blvd Mandeville LA 70471-3116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7108 Louisiana

Profile Details

NPI number 1336765452
LBN Legal business name Blades, Jacee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336765452 NPPES
Louisiana Other 7108 LA STATE BOARD OF DENTISTRY

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