| Jupiter Farms Dental | |
|
10156 W Indiantown Rd Jupiter FL 33478-4707 | |
| (561) 743-6700 | |
| (561) 743-9314 |
| Full Name | Jupiter Farms Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10156 W Indiantown Rd, Jupiter, Florida |
| Authorized Official Name and Position | Jason Wayne Fredrick (PRESIDENT) |
| Authorized Official Contact | 5617436700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Farms Dental 10156 W Indiantown Rd Jupiter FL 33478-4707 Ph: (561) 743-6700 | Jupiter Farms Dental 10156 W Indiantown Rd Jupiter FL 33478-4707 Ph: (561) 743-6700 |
| NPI Number | 1801014410 |
|---|---|
| Provider Enumeration Date | 04/22/2007 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801014410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14300 (Florida) | Primary |
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