Scully, Jason Malcolm
Scully, Jason Malcolm is an sole proprietor health care provider with primary practice located at 69 Sherman Street , Fairfield CT 06824. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Scully, Jason Malcolm can be contacted via phone (203) 255-1545.Contact Information
Primary practice address
69 Sherman Street
Fairfield CT 06824
Phone: (203) 255-1545
Fax: (203) 255-7530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8632 | Connecticut |
Profile Details
| NPI number | 1427142918 |
|---|---|
| LBN Legal business name | Scully, Jason Malcolm |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 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.
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