Jennings, James Harris

Jennings, James Harris is an individual health care provider with primary practice located at 901 E 21St St Suite B, Clovis NM 88101-4492. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jennings, James Harris can be contacted via phone (505) 762-4794.

Contact Information

Primary practice address
901 E 21St St Suite B Clovis NM 88101-4492
Phone: (505) 762-4794
Fax: (505) 762-1529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X NM1298 New Mexico

Profile Details

NPI number 1295726834
LBN Legal business name Jennings, James Harris
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
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 1295726834 NPPES
Other 781742 UNITED CONCORDIA TRICARE
MEDICAID 84038 UNITED CONCORDIA TRICARE
Other 0006411 UNITED CONCORDIA TRICARE

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