Holler, Jess Lee

Holler, Jess Lee is an individual health care provider with primary practice located at 1024 Lafayette Ave , Terre Haute IN 47804-2932. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Holler, Jess Lee can be contacted via phone (812) 232-6654.

Contact Information

Primary practice address
1024 Lafayette Ave Terre Haute IN 47804-2932
Phone: (812) 232-6654
Fax: (812) 232-4255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12007999 Indiana

Profile Details

NPI number 1326087511
LBN Legal business name Holler, Jess Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326087511 NPPES
Indiana Other 184293 UNITED CONDORDIA

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