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Contact Information

DENIS A JACQUES, DDS
34 SOUTH MAIN STREET
PITTSTON, PA18640
 Phone: 570-654-2484
 Fax: 570-654-4867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DENIS A JACQUES · (Male)

NPI Number 1205900545
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS020524L
  • PA Medicaid 0006496590001
  • PA Other 75866 MED PLUS
  • PA Other 151009 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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