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NPI Code Detail

MEDICARE: DR. ANN S JAMIESON DDS

MEDICARE:  DR. ANN S JAMIESON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry10076FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160538OTHERFLBLUE CROSS BLUE SHIELD#

General Provider Information

NPI Number : 1437179132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN S JAMIESON DDS
Provider Business Mailing Address
First Line : 190 PINE AVE N
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-4629
Country : US
Telephone Number : 813-855-1007
Fax Number : 813-855-1009
Provider Business Practice Location Address
First Line : 190 PINE AVE N
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-4629
Country : US
Telephone Number : 813-855-1007
Fax Number : 813-855-1009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANN S JAMIESON DDS” Practice Location

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