| Jonesville Dentistry, Pllc | |
|
13576 Nw 2nd Ln Ste 30 Newberry FL 32669-3736 | |
| (352) 354-3601 | |
| Not Available |
| Full Name | Jonesville Dentistry, Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548889926 | NPI | - | NPPES |
| 1306376512 | Other | FL | NPI - INDIVIDUAL |
| DN22573 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |