Gifford, Jonathan L
Gifford, Jonathan L is an sole proprietor health care provider with primary practice located at 435 W Prospect Ave , Mount Prospect IL 60056-3031. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gifford, Jonathan L can be contacted via phone (847) 255-9690.Contact Information
Primary practice address
435 W Prospect Ave
Mount Prospect IL 60056-3031
Phone: (847) 255-9690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019030941 | Illinois |
| Dental Providers / Dentist | 122300000X | DD4038 | New Mexico |
Profile Details
| NPI number | 1003187956 |
|---|---|
| LBN Legal business name | Gifford, Jonathan L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2012 |
| Last updated | Mar 2nd, 2017 - 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.
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