| J Timothy Doerner Dda Pa | |
|
2763 State Road 580 Clearwater FL 33761-3350 | |
| (727) 791-1099 | |
| Not Available |
| Full Name | J Timothy Doerner Dda Pa |
|---|---|
| Speciality | Dentist |
| Location | 2763 State Road 580, Clearwater, Florida |
| Authorized Official Name and Position | James Doerner (OWNER) |
| Authorized Official Contact | 7277911099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Timothy Doerner Dda Pa 2763 State Road 580 Clearwater FL 33761-3350 Ph: (727) 791-1099 | J Timothy Doerner Dda Pa 2763 State Road 580 Clearwater FL 33761-3350 Ph: (727) 791-1099 |
| NPI Number | 1861946550 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861946550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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