Jimenez, Yakdiel

Jimenez, Yakdiel is an individual health care provider with primary practice located at 85 W Burnside Ave , Bronx NY 10453-4015. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jimenez, Yakdiel can be contacted via phone (718) 716-4400.

Contact Information

Primary practice address
85 W Burnside Ave Bronx NY 10453-4015
Phone: (718) 716-4400
Fax: (718) 294-6912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 052317 New York

Profile Details

NPI number 1467425462
LBN Legal business name Jimenez, Yakdiel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jan 11th, 2012 - about 14 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 1467425462 NPPES
New York MEDICAID 02685647

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