Childress, Jamie

Childress, Jamie is an individual health care provider with primary practice located at 13601 Office Pl Suite 202, Woodbridge VA 22192-4213. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Childress, Jamie can be contacted via phone (703) 670-7071.

Contact Information

Primary practice address
13601 Office Pl Suite 202 Woodbridge VA 22192-4213
Phone: (703) 670-7071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401411027 Virginia

Profile Details

NPI number 1760487045
LBN Legal business name Childress, Jamie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
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.

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