| Jaxoms, P.a. | |
|
17425 Bridge Hill Ct Ste 103 Tampa FL 33647-3657 | |
| (402) 805-4516 | |
| Not Available |
| Full Name | Jaxoms, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17425 Bridge Hill Ct Ste 103, Tampa, Florida |
| Authorized Official Name and Position | Jenn Heritage (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4028054516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaxoms, P.a. 17425 Bridge Hill Ct Ste 103 Tampa FL 33647-3657 Ph: () - | Jaxoms, P.a. 17425 Bridge Hill Ct Ste 103 Tampa FL 33647-3657 Ph: (402) 805-4516 |
| NPI Number | 1619893336 |
|---|---|
| Provider Enumeration Date | 06/26/2026 |
| Last Update Date | 06/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619893336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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