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NPI Code Detail

MEDICARE: JAY L AJMO, DDS PA

MEDICARE: JAY L AJMO, DDS PA
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 Dentistry

General Provider Information

NPI Number : 1720939085
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAY L AJMO, DDS PA
Provider Business Mailing Address
First Line : 7100 FAIRWAY DR STE 59
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-3779
Country : US
Telephone Number : 561-627-8666
Fax Number :
Provider Business Practice Location Address
First Line : 7100 FAIRWAY DR STE 59
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-3779
Country : US
Telephone Number : 561-627-8666
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JA AJMO
Credential : DDS
Telephone Number : 561-627-8666
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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