Do, Jacquelyn
Do, Jacquelyn is an individual health care provider with primary practice located at 3525 Broadway Street Suite 101, Pearland TX 77581. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Do, Jacquelyn can be contacted via phone (281) 485-1133.Contact Information
Primary practice address
3525 Broadway Street Suite 101
Pearland TX 77581
Phone: (281) 485-1133
Fax: (281) 485-1166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0023838 | Texas |
| Dental Providers / Dentist | 122300000X | 53206 | California |
| Dental Providers / General Practice | 1223G0001X | D53206 | California |
| Dental Providers / Dentist | 122300000X | 23838 | Texas |
Profile Details
| NPI number | 1902938046 |
|---|---|
| LBN Legal business name | Do, Jacquelyn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Sep 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902938046 | NPPES |
| California | Other | D53206 | DENTI-CAL PROVIDER NUMBER |
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