Dr Jimmie Dwight Lassiter Jr, DMD is a
Dentist based in Jay, Florida. Dr Jimmie Dwight Lassiter Jr is licensed to practice in Florida (license number DN0014325) and his current practice location is
5285 Commerce St, Jay, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 675-8545.
NPI number for Dr Jimmie Dwight Lassiter Jr is 1730128869 and his current mailing address is 3200 Cobbtown Rd, Jay, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730128869.
Healthcare Provider's Profile
| Full Name | Dr Jimmie Dwight Lassiter Jr |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 5285 Commerce St, Jay, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730128869
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jimmie Dwight Lassiter Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730128869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN0014325 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jimmie Dwight Lassiter Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jimmie Dwight Lassiter Jr, DMD
3200 Cobbtown Rd,
Jay, FL 32565-9206
Ph: (850) 675-6715 | Dr Jimmie Dwight Lassiter Jr, DMD
5285 Commerce St,
Jay, FL 32565-1179
Ph: (850) 675-8545 |
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