Culver, Jimmy Lon

Culver, Jimmy Lon is an sole proprietor health care provider with primary practice located at 274 Barnstable Rd , Hyannis MA 02601-2919. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Culver, Jimmy Lon can be contacted via phone (508) 771-0500.

Contact Information

Primary practice address
274 Barnstable Rd Hyannis MA 02601-2919
Phone: (508) 771-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 016-0000685 Vermont
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN13006 Massachusetts

Profile Details

NPI number 1568479640
LBN Legal business name Culver, Jimmy Lon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Nov 25th, 2014 - about 12 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 1568479640 NPPES
Vermont MEDICAID 0002340

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