Yetzer, Jacob Gregory
Yetzer, Jacob Gregory is an individual health care provider with primary practice located at 251 Radio Drive Suite A, Woodbury MN 55125-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Yetzer, Jacob Gregory can be contacted via phone (651) 760-3661.Contact Information
Primary practice address
251 Radio Drive Suite A
Woodbury MN 55125-0001
Phone: (651) 760-3661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | ME119107 | Florida |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | S93 | Minnesota |
Profile Details
| NPI number | 1588823983 |
|---|---|
| LBN Legal business name | Yetzer, Jacob Gregory |
| Credentials | M.D., D.D.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Dec 11th, 2024 - about 2 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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