Hartley, Jacob A
Hartley, Jacob A is an individual health care provider with primary practice located at 1131 Professional Dr , Williamsburg VA 23185-3329. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hartley, Jacob A can be contacted via phone (757) 220-0330.Contact Information
Primary practice address
1131 Professional Dr
Williamsburg VA 23185-3329
Phone: (757) 220-0330
Fax: (757) 220-9067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS038985 | Pennsylvania |
| Dental Providers / General Practice | 1223G0001X | 0401413592 | Virginia |
Profile Details
| NPI number | 1669731014 |
|---|---|
| LBN Legal business name | Hartley, Jacob A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2012 |
| Last updated | Jun 4th, 2012 - about 14 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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