Packman, Jon Charles

Packman, Jon Charles is an individual health care provider with primary practice located at 1316 Davie Ave , Statesville NC 28677-3561. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Packman, Jon Charles can be contacted via phone (704) 873-2211.

Contact Information

Primary practice address
1316 Davie Ave Statesville NC 28677-3561
Phone: (704) 873-2211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7159 North Carolina

Profile Details

NPI number 1992734347
LBN Legal business name Packman, Jon Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992734347 NPPES
North Carolina MEDICAID 899015P

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