Search › Florida › 122300000X
Jay Wickersham
NPI 1285251389 · on the registry since 2020
Practice
- Address
- 12926 Us Highway 301 S Ste 5
Riverview, FL 33578 - Phone
- (217) 540-5100
- Organisation at this address
- Comfortable Care Dental Health Professionals, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-06
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