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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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