| Jimmie D Lassiter Dmd Llc | |
|
5285 Commerce St Jay FL 32565-1179 | |
| (850) 675-8545 | |
| Not Available |
| Full Name | Jimmie D Lassiter Dmd Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932882552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |