Jackson Dent, Sandra Nicole

Jackson Dent, Sandra Nicole is an individual health care provider with primary practice located at 2240 Fountain Dr , Snellville GA 30078-2919. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jackson Dent, Sandra Nicole can be contacted via phone (770) 978-5000.

Contact Information

Primary practice address
2240 Fountain Dr Snellville GA 30078-2919
Phone: (770) 978-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 336.091542 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 336.091542 Illinois

Profile Details

NPI number 1063640563
LBN Legal business name Jackson Dent, Sandra Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Jan 10th, 2022 - about 4 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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