Crespo Gonzalez, Jennifer
Crespo Gonzalez, Jennifer is an sole proprietor health care provider with primary practice located at 5458 S Redwood Rd , Taylorsville UT 84123. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Crespo Gonzalez, Jennifer can be contacted via phone (385) 401-1331.Contact Information
Primary practice address
5458 S Redwood Rd
Taylorsville UT 84123
Phone: (385) 401-1331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30.023522 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Ohio | |
| Dental Providers / Dentist | 122300000X | 11199680-9922 | Utah |
| Dental Providers / Dentist | 122300000X | 63979 | California |
Profile Details
| NPI number | 1811204092 |
|---|---|
| LBN Legal business name | Crespo Gonzalez, Jennifer |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2010 |
| Last updated | Feb 16th, 2023 - about 3 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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