Diederich, Jennifer A
Diederich, Jennifer A is an individual health care provider with primary practice located at 222 Main St Pmb 251, Farmington CT 06032-3623. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Diederich, Jennifer A can be contacted via phone (860) 751-9209.Contact Information
Primary practice address
222 Main St Pmb 251
Farmington CT 06032-3623
Phone: (860) 751-9209
Fax: (860) 693-6309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 007122 | Connecticut |
Profile Details
| NPI number | 1356330344 |
|---|---|
| LBN Legal business name | Diederich, Jennifer A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Sep 30th, 2015 - about 11 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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