Nesvold, Jay Allan

Nesvold, Jay Allan is an sole proprietor health care provider with primary practice located at 278 Lafayette Road Bldg E, Portsmouth NH 03801-5455. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / Dental Public Health is his primary health care specialty. Nesvold, Jay Allan can be contacted via phone (603) 430-9009.

Contact Information

Primary practice address
278 Lafayette Road Bldg E Portsmouth NH 03801-5455
Phone: (603) 430-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 21460 Massachusetts
Dental Providers / General Practice 1223G0001X 21460 Massachusetts
Dental Providers / General Practice 1223G0001X 3293 New Hampshire
Dental Providers / General Practice 1223G0001X D11553 Minnesota

Profile Details

NPI number 1063485654
LBN Legal business name Nesvold, Jay Allan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1063485654 NPPES
New Hampshire MEDICAID 30303822
New Hampshire MEDICAID 1201514

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