# DR. JEFFREY DEE FLEIGEL III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336357748
- **Gender:** Man
- **Credential:** D.M.D, M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN17200 | FL | — |
| 1223G0001X | General Practice Dentistry | DN17200 | FL | — |
| 1223P0700X | Prosthodontics | DN17200 | FL | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 10/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006240700 | — | FL |