Mahoney, Jeremiah J
Mahoney, Jeremiah J is an individual health care provider with primary practice located at 30 Office Park Dr , Palm Coast FL 32137-3808. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mahoney, Jeremiah J can be contacted via phone (386) 446-3883.Contact Information
Primary practice address
30 Office Park Dr
Palm Coast FL 32137-3808
Phone: (386) 446-3883
Fax: (386) 445-9318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN16989 | Florida |
Profile Details
| NPI number | 1164562831 |
|---|---|
| LBN Legal business name | Mahoney, Jeremiah J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 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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