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Contact Information

JERRY H CHEESMAN, DMD
217 NE FRANKLIN SREET
LAKE CITY, FL32055
 Phone: 386-752-9914
 Fax: 386-758-2180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JERRY H CHEESMAN · (Male)

NPI Number 1144759333
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/09/2017
Last updated 06/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • FL License # DN11229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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