Greene, Jacob Alan
Greene, Jacob Alan is an individual health care provider with primary practice located at 111 S Grove St Ste 1 , Petersburg WV 26847-1805. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Greene, Jacob Alan can be contacted via phone (304) 257-2451.Contact Information
Primary practice address
111 S Grove St Ste 1
Petersburg WV 26847-1805
Phone: (304) 257-2451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN016106 | Georgia |
| Dental Providers / General Practice | 1223G0001X | 4671 | West Virginia |
Profile Details
| NPI number | 1407460942 |
|---|---|
| LBN Legal business name | Greene, Jacob Alan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2020 |
| Last updated | May 22nd, 2024 - about 2 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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