Wendell, Jon Jay

Wendell, Jon Jay is an individual health care provider with primary practice located at 150 Griffin Rd Ste 1 , Portsmouth NH 03801-7131. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wendell, Jon Jay can be contacted via phone (603) 436-2204.

Contact Information

Primary practice address
150 Griffin Rd Ste 1 Portsmouth NH 03801-7131
Phone: (603) 436-2204
Fax: (603) 436-4158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2493 New Hampshire

Profile Details

NPI number 1033273842
LBN Legal business name Wendell, Jon Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033273842 NPPES
New Hampshire Other 2493 STATE LICENSE NUMBER
New Hampshire MEDICAID 30005083 STATE LICENSE NUMBER

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