Patrick, Jonathan Robert

Patrick, Jonathan Robert is an sole proprietor health care provider with primary practice located at 24510 Eastex Fwy Ste 110 , Kingwood TX 77339-2698. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Patrick, Jonathan Robert can be contacted via phone (281) 608-7535.

Contact Information

Primary practice address
24510 Eastex Fwy Ste 110 Kingwood TX 77339-2698
Phone: (281) 608-7535
Fax: (281) 608-7537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30790 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 30790 Texas

Profile Details

NPI number 1619218799
LBN Legal business name Patrick, Jonathan Robert
Credentials D.D.S., M.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2013
Last updated Nov 10th, 2018 - about 8 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 1619218799 NPPES
Texas MEDICAID 357948401
Texas MEDICAID 357948402

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