Leist, Jonathan Blake
Leist, Jonathan Blake is an individual health care provider with primary practice located at 1138 Rose Hill Dr Ste 400 , Charlottesville VA 22903-5128. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leist, Jonathan Blake can be contacted via phone (434) 972-6233.Contact Information
Primary practice address
1138 Rose Hill Dr Ste 400
Charlottesville VA 22903-5128
Phone: (434) 972-6233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401415730 | Virginia |
Profile Details
| NPI number | 1649798935 |
|---|---|
| LBN Legal business name | Leist, Jonathan Blake |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2017 |
| Last updated | Nov 16th, 2022 - about 4 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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