| Jerry L Stoneking D.d.s.,p.a. | |
|
6600 10th Ave N Saint Petersburg FL 33710-6104 | |
| (727) 381-1240 | |
| Not Available |
| Full Name | Jerry L Stoneking D.d.s.,p.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6600 10th Ave N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Jerry L Stoneking (PRESIDENT) |
| Authorized Official Contact | 7273811240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry L Stoneking D.d.s.,p.a. 6600 10th Ave N Saint Petersburg FL 33710-6104 Ph: (727) 381-1240 | Jerry L Stoneking D.d.s.,p.a. 6600 10th Ave N Saint Petersburg FL 33710-6104 Ph: (727) 381-1240 |
| NPI Number | 1962419580 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962419580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4177 (Florida) | Primary |
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