Le, Jade

Le, Jade is an individual health care provider with primary practice located at 28321 S. Tamiami Trail Suite A1-2, Bonita Springs FL 34134. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Le, Jade can be contacted via phone (239) 344-2322.

Contact Information

Primary practice address
28321 S. Tamiami Trail Suite A1-2 Bonita Springs FL 34134
Phone: (239) 344-2322
Fax: (239) 390-0523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN18068 Florida
Dental Providers / General Practice 1223G0001X 3736 Maine

Profile Details

NPI number 1154541845
LBN Legal business name Le, Jade
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 6th, 2011 - about 15 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 1154541845 NPPES
Maine MEDICAID 418040000

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