Matousek-Ronck, Jennifer Mane

Matousek-Ronck, Jennifer Mane is an sole proprietor health care provider with primary practice located at 614 E Emma Ave Suite 300, Springdale AR 72764-4634. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Matousek-Ronck, Jennifer Mane can be contacted via phone (479) 751-7417.

Contact Information

Primary practice address
614 E Emma Ave Suite 300 Springdale AR 72764-4634
Phone: (479) 751-7417
Fax: (479) 751-4898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5876 Oklahoma
Dental Providers / Dentist 122300000X 3815 Arkansas

Profile Details

NPI number 1306912373
LBN Legal business name Matousek-Ronck, Jennifer Mane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jan 22nd, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306912373 NPPES
Oklahoma MEDICAID 200086130A
Oklahoma MEDICAID 198665608

Popular Providers