Jonesville Dentistry, Pllc | |
13576 Nw 2nd Ln Ste 30 Newberry FL 32669-3736 | |
(352) 354-3601 | |
Not Available |
Full Name | Jonesville Dentistry, Pllc |
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Speciality | Clinic/center - Dental |
Location | 13576 Nw 2nd Ln Ste 30, Newberry, Florida |
Authorized Official Name and Position | Sean Theron Williams (OWNER) |
Authorized Official Contact | 8505177640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jonesville Dentistry, Pllc 13576 Nw 2nd Ln Ste 30 Newberry FL 32669-3736 Ph: (352) 354-3601 | Jonesville Dentistry, Pllc 13576 Nw 2nd Ln Ste 30 Newberry FL 32669-3736 Ph: (352) 354-3601 |
NPI Number | 1548889926 |
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Provider Enumeration Date | 04/15/2020 |
Last Update Date | 04/15/2020 |
Identifier | Type | State | Issuer |
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1548889926 | NPI | - | NPPES |
1306376512 | Other | FL | NPI - INDIVIDUAL |
DN22573 | Other | FL | FLORIDA BOARD OF DENTISTRY |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |