Lackey, Jessica Lee Harden

Lackey, Jessica Lee Harden is an sole proprietor health care provider with primary practice located at 139 W Ross Grove Road , Shelby NC 28150-3406. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lackey, Jessica Lee Harden can be contacted via phone (704) 482-7986.

Contact Information

Primary practice address
139 W Ross Grove Road Shelby NC 28150-3406
Phone: (704) 482-7986
Fax: (704) 480-9301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9304 North Carolina

Profile Details

NPI number 1023379559
LBN Legal business name Lackey, Jessica Lee Harden
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2012
Last updated Sep 11th, 2014 - about 12 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 1023379559 NPPES
North Carolina MEDICAID 5920113

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