# DR. COURTNEY ANN JATANA

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

## Provider details

- **NPI number:** 1912125899
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30-023557 | OH | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | LIMITED TEACHING | OH | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 30.023557 | OH | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 12/18/2019