| Jay Wickersham, | |
|
12926 Us Highway 301 S Ste 5, Riverview, FL 33578-7458 | |
| (217) 540-5100 | |
| Not Available |
| Full Name | Jay Wickersham |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 12926 Us Highway 301 S Ste 5, Riverview, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285251389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN25056 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Wickersham, 12926 Us Highway 301 S Ste 5, Riverview, FL 33578-7458 Ph: (217) 540-5100 | Jay Wickersham, 12926 Us Highway 301 S Ste 5, Riverview, FL 33578-7458 Ph: (217) 540-5100 |
Dr. Rosalia Aphrodite Kickish, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 13122 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-638-0313 Fax: 813-677-1228 |
Dr. Katie Park Siegel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11246 Sullivan St, Riverview, FL 33578 Phone: 813-530-0111 |
Ernesto Ulloa-jimenez, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10845 Bloomingdale Ave, Riverview, FL 33578 Phone: 813-662-6100 |
Gabrielle Westerman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11916 Boyette Rd, Riverview, FL 33569 Phone: 813-343-8848 |
Tanya Lutjemeyer, DMD Dentist Medicare: Medicare Enrolled Practice Location: 13123 Us Highway 301 S, Riverview, FL 33578 Phone: 813-313-2572 |
Ms. Mi Ae Kwon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11246 Sullivan St, Riverview, FL 33578 Phone: 813-530-0111 |
Dr. Tatiana Furci Tuccinardi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 13146 Us 301 S, Riverview, FL 33578 Phone: 813-672-9575 |