Owens, Jessica

Owens, Jessica is an individual health care provider with primary practice located at 190 Watson Street , Danville VA 24540. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Owens, Jessica can be contacted via phone (434) 792-0700.

Contact Information

Primary practice address
190 Watson Street Danville VA 24540
Fax: (434) 792-5325
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X FO2244565 Virginia

Profile Details

NPI number 1194031773
LBN Legal business name Owens, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Aug 20th, 2014 - about 12 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 1194031773 NPPES
Virginia MEDICAID 465040124

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