SearchFlorida1223G0001X

Brian Jaques, DMD

NPI 1023458379 · on the registry since 2013 · sole proprietor

Practice

Address
9200 113th St
Seminole, FL 33772
Phone
(727) 394-6905
Organisation at this address
University Of Florida
Faculty Associates, Inc
Unifersity Of Florida College Of Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida