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Contact Information

MOUNT JACKSON DENTAL CARE, PLLC
5338 MAIN STREET
MOUNT JACKSON, VA22842
 Phone: 540-477-2901
 Fax: 540-477-2901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MOUNT JACKSON DENTAL CARE PLLC · (Female)

NPI Number 1053167213
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2024
Last updated 04/29/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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