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Contact Information

JESSICA M BREWSTER, DDS
1035 ALTO STREET
SANTA FE, NM87502-2406
 Phone: 505-984-5048
 Fax: 505-983-4751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JESSICA M BREWSTER · (Female)

NPI # 1629066634
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/12/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD1846
  • NM Medicaid 87685
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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