Decota, Jennifer
Decota, Jennifer is an individual health care provider with primary practice located at 1391 Smizer Mill Rd Suite 104, Fenton MO 63026-7306. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Decota, Jennifer can be contacted via phone (636) 349-2400.Contact Information
Primary practice address
1391 Smizer Mill Rd Suite 104
Fenton MO 63026-7306
Phone: (636) 349-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2000158416 | Missouri |
Profile Details
| NPI number | 1780806109 |
|---|---|
| LBN Legal business name | Decota, Jennifer |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| 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.
Popular Providers
-
Martin, Daryl John
517 Main St , Fenton MO 63026-4169 -
Abbassian, Paria Monica
170 Gravois Bluffs Cir , Fenton MO 63026-7761 -
Clark, Victor Lee
733 Oakwood Dr , Fenton MO 63026-3535 -
Gruendl, Karl Heinz
11 Green Valley Dr , Fenton MO 63026-5045 -
Duran, Daniel A.
2974 N Main St , Las Cruces NM 88001-1152 -
Morgester, Kurt Richard
2578 Gladiator Dr , Fenton MO 63026-2285 -
Decota, Adam
1391 Smizer Mill Rd Suite 104, Fenton MO 63026-7306 -
Kemlage, Thomas F.
1576 Smizer Station Rd. , Fenton MO 63026-3290