Root, Jeffrey
Root, Jeffrey is an sole proprietor health care provider with primary practice located at 300 Water Oak Suites , Brevard NC 28712. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Root, Jeffrey can be contacted via phone (828) 884-3421.Contact Information
Primary practice address
300 Water Oak Suites
Brevard NC 28712
Phone: (828) 884-3421
Fax: (828) 884-6336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7865 | North Carolina |
Profile Details
| NPI number | 1639100209 |
|---|---|
| LBN Legal business name | Root, Jeffrey |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639100209 | NPPES |
| North Carolina | MEDICAID | 5900290 |
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