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NPI Code Detail

MEDICARE: JEFFREY ALAN JANOFF D.M.D.,M.SC.D.

MEDICARE: JEFFREY ALAN JANOFF D.M.D.,M.SC.D.
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
11223P0221XPediatric DentistryDN 7422FL

General Provider Information

NPI Number : 1821005281
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY ALAN JANOFF D.M.D.,M.SC.D.
Provider Business Mailing Address
First Line : 333 MIAMI AVE W
Second Line :
City : VENICE
State : FL
Zip : 34285-2361
Country : US
Telephone Number : 941-484-2629
Fax Number :
Provider Business Practice Location Address
First Line : 333 MIAMI AVE W
Second Line :
City : VENICE
State : FL
Zip : 34285-2361
Country : US
Telephone Number : 941-484-2629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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