Vande Visse, Jack E

Vande Visse, Jack E is an individual health care provider with primary practice located at 110 Fort Couch Rd , Pittsburgh PA 15241-1030. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Vande Visse, Jack E can be contacted via phone (412) 833-8400.

Contact Information

Primary practice address
110 Fort Couch Rd Pittsburgh PA 15241-1030
Phone: (412) 833-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DS018824L Pennsylvania

Profile Details

NPI number 1982718094
LBN Legal business name Vande Visse, Jack E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 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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