Delash, Jacqueline

Delash, Jacqueline is an individual health care provider with primary practice located at 98 N Park Dr , Fayetteville GA 30214-1645. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Delash, Jacqueline can be contacted via phone (770) 461-1141.

Contact Information

Primary practice address
98 N Park Dr Fayetteville GA 30214-1645
Phone: (770) 461-1141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN014990 Georgia
Dental Providers / General Practice 1223G0001X DN014990 Georgia

Profile Details

NPI number 1275916728
LBN Legal business name Delash, Jacqueline
Credentials DMD, MBA, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Jun 29th, 2022 - about 4 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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