Simpson, Jordan Marc

Simpson, Jordan Marc is an sole proprietor health care provider with primary practice located at 4168 Baker St Ne , Covington GA 30014-1404. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Simpson, Jordan Marc can be contacted via phone (770) 787-2230.

Contact Information

Primary practice address
4168 Baker St Ne Covington GA 30014-1404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN122464. Georgia
Dental Providers / Dentist 122300000X DN122464 Georgia

Profile Details

NPI number 1225706930
LBN Legal business name Simpson, Jordan Marc
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 2021 - about 5 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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