Ford, Jermel Danon
Ford, Jermel Danon is an individual health care provider with primary practice located at 1033 28Th St , Newport News VA 23607-4233. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ford, Jermel Danon can be contacted via phone (757) 774-3418.Contact Information
Primary practice address
1033 28Th St
Newport News VA 23607-4233
Phone: (757) 774-3418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401411161 | Virginia |
Profile Details
| NPI number | 1962579946 |
|---|---|
| LBN Legal business name | Ford, Jermel Danon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Dec 14th, 2016 - about 9 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 | 1962579946 | NPPES |
| Virginia | MEDICAID | 9179710 |
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