Funtanilla, Jonathan
Funtanilla, Jonathan is an sole proprietor health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Funtanilla, Jonathan can be contacted via phone (785) 240-7410.Contact Information
Primary practice address
650 Huebner Rd
Fort Riley KS 66442-4030
Phone: (785) 240-7410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D011205 | Arizona |
Profile Details
| NPI number | 1760144042 |
|---|---|
| LBN Legal business name | Funtanilla, Jonathan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Jun 23rd, 2025 - about last year |
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 | 1760144042 | NPPES |
| Arizona | Other | D011205 | DENTAL LICENSE |
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