Jackson, Lloyd Brent
Jackson, Lloyd Brent is an sole proprietor health care provider with primary practice located at 2700 Farmington Ave C -1, Farmington NM 87401-4559. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Lloyd Brent can be contacted via phone (505) 327-0044.Contact Information
Primary practice address
2700 Farmington Ave C -1
Farmington NM 87401-4559
Phone: (505) 327-0044
Fax: (505) 325-0817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD2248 | New Mexico |
Profile Details
| NPI number | 1487785911 |
|---|---|
| LBN Legal business name | Jackson, Lloyd Brent |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| 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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