Jimmie D Lassiter Dmd Llc | |
5285 Commerce St Jay FL 32565-1179 | |
(850) 675-8545 | |
Not Available |
Full Name | Jimmie D Lassiter Dmd Llc |
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Speciality | Dentist - General Practice |
Location | 5285 Commerce St, Jay, Florida |
Authorized Official Name and Position | Jim Lassiter (OWNER) |
Authorized Official Contact | 8506758545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jimmie D Lassiter Dmd Llc 5285 Commerce St Jay FL 32565-1179 Ph: (850) 675-8545 | Jimmie D Lassiter Dmd Llc 5285 Commerce St Jay FL 32565-1179 Ph: (850) 675-8545 |
NPI Number | 1932882552 |
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Provider Enumeration Date | 08/10/2023 |
Last Update Date | 08/10/2023 |
Identifier | Type | State | Issuer |
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1932882552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |