De Fex, Juan Carlos

De Fex, Juan Carlos is an sole proprietor health care provider with primary practice located at 74-10 35Th Avenue Suite 106W, Jackson Heights NY 11372-8160. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. De Fex, Juan Carlos can be contacted via phone (718) 476-6750.

Contact Information

Primary practice address
74-10 35Th Avenue Suite 106W Jackson Heights NY 11372-8160
Phone: (718) 476-6750
Fax: (718) 426-4040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 043060 New York

Profile Details

NPI number 1821052317
LBN Legal business name De Fex, Juan Carlos
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Jul 1st, 2009 - about 17 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 1821052317 NPPES
New York MEDICAID 01407450

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