Jeffers, Dick J

Jeffers, Dick J is an individual health care provider with primary practice located at 331 N Cherry St , Valentine NE 69201-1880. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jeffers, Dick J can be contacted via phone (402) 376-3390.

Contact Information

Primary practice address
331 N Cherry St Valentine NE 69201-1880
Phone: (402) 376-3390
Fax: (402) 376-2005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3543 Nebraska

Profile Details

NPI number 1386612166
LBN Legal business name Jeffers, Dick J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 9th, 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 1386612166 NPPES
Nebraska Other 5161 BCBS PROVIDER NUMBER
Nebraska MEDICAID 47-0519927-13 BCBS PROVIDER NUMBER

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