| Jenna Godwin Llc | |
|
8277 113th St Seminole FL 33772-4128 | |
| (727) 397-8500 | |
| (727) 393-2977 |
| Full Name | Jenna Godwin Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8277 113th St, Seminole, Florida |
| Authorized Official Name and Position | Jenna Godwin (OWNER) |
| Authorized Official Contact | 7272978500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Godwin Llc Po Box 25008 Oklahoma City OK 73125-0008 Ph: (727) 297-8500 | Jenna Godwin Llc 8277 113th St Seminole FL 33772-4128 Ph: (727) 397-8500 |
| NPI Number | 1396557476 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396557476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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