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Contact Information

JACOB J BISSONETTE, DDS
7777 U.S. RT. 23
PIKETON, OH45661
 Phone: 740-289-3508
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JACOB J BISSONETTE · (Male)

NPI Number 1568651818
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/22/2007
Last updated 12/10/2008 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 30022616
  • OH Medicaid 2783715
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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