Dr. Jennifer Carolan Hearne
Oral & Maxillofacial Surgeon
249 Notteargenta Rd
Pacific Palisades
, California 90272-3111
Dr. Jennifer Carolan Hearne
Oral & Maxillofacial Surgeon
249 Notteargenta Rd
Pacific Palisades
, California 90272-3111
(310) 261-3534
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jennifer Carolan Hearne
- 249 Notteargenta Rd
- Pacific Palisades, CA
- Zip : 90272-3111
- Phone : (310) 261-3534
Second Address
- Dr. Jennifer Carolan Hearne
- 249 Notteargenta Rd
- Pacific Palisades, CA
- Zip : 90272-3111
- Phone : (310) 261-3534
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 48460 | CA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | A113328 | CA |
National Provider Identifier
| NPI | 1538349576 |
|---|---|
| Provider Name | Dr. Jennifer Carolan Hearne |
| First Address | Pacific Palisades, CA 90272-3111 |
| Second Address | Pacific Palisades, CA 90272-3111 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2007 |
| Last Update Date | 23/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.