| Jason G Seymour Dmd & Kathleen Haley-seymour Dmd, Pa | |
|
297 E Hickory Ave Crestview FL 32536-2735 | |
| (850) 682-4724 | |
| Not Available |
| Full Name | Jason G Seymour Dmd & Kathleen Haley-seymour Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 297 E Hickory Ave, Crestview, Florida |
| Authorized Official Name and Position | Jason Gary Seymour (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 8506824724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason G Seymour Dmd & Kathleen Haley-seymour Dmd, Pa 297 E Hickory Ave Crestview FL 32536-2735 Ph: (850) 682-4724 | Jason G Seymour Dmd & Kathleen Haley-seymour Dmd, Pa 297 E Hickory Ave Crestview FL 32536-2735 Ph: (850) 682-4724 |
| NPI Number | 1598789158 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598789158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0014029 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | DN0014058 (Florida) | Primary |
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