Gough, Jennifer Louise

Gough, Jennifer Louise is an individual health care provider with primary practice located at 5720 1St Ave S , Birmingham AL 35212-2522. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gough, Jennifer Louise can be contacted via phone (205) 380-9455.

Contact Information

Primary practice address
5720 1St Ave S Birmingham AL 35212-2522
Phone: (205) 380-9455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 8900 Alabama

Profile Details

NPI number 1609474014
LBN Legal business name Gough, Jennifer Louise
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2020
Last updated Oct 16th, 2020 - about 6 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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