Gregg, Jessie
Gregg, Jessie is an individual health care provider with primary practice located at 968 1St Infantry Division Rd , Fort Knox KY 40121-5210. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gregg, Jessie can be contacted via phone (502) 626-8303.Contact Information
Primary practice address
968 1St Infantry Division Rd
Fort Knox KY 40121-5210
Phone: (502) 626-8303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10748 | Tennessee |
Profile Details
| NPI number | 1841779915 |
|---|---|
| LBN Legal business name | Gregg, Jessie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2018 |
| Last updated | Jan 1st, 2024 - 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 | 1841779915 | NPPES |
| Tennessee | Other | 359990000 | US ARMY |
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