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Jasen Genninger
General Practice Dentistry in Brandon, Florida
NPI 1780054593

Jasen Genninger is a General Practice Dentistry based in Brandon, FL and is specialized in General Practice. Jasen Genninger practices in Brandon, FL. The NPI Number for Jasen Genninger is 1780054593 and holds a License No. DN 21566 (Florida).

The current practice location address for Jasen Genninger is 511 W Brandon Blvd, Brandon, FL and can be reached out via phone at 813-381-5632.

Location: 511 W Brandon Blvd, Brandon, FL, 33511-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780054593
Provider Name
Jasen Genninger
Credential
Provider Entity Type
Individual
Gender
Male
Address
511 W Brandon Blvd, Brandon, FL, 33511-5003
Phone Number
813-381-5632
Fax Number
Provider Enumeration Date
10/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
511 W Brandon Blvd
City
Brandon
State
Florida
Zip
33511-5003
Phone Number
813-381-5632
Fax Number
person
Provider Business Mailing Address Details
Address
511 W Brandon Blvd
City
Brandon
State
Florida
Zip
33511-5003
Phone Number
813-381-5632
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN 21566 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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