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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841779915 NPPES
Tennessee Other 359990000 US ARMY

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