Individual
JESSICA OVERMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3221 S CONWAY RD, SUITE C, ORLANDO, FL 32812-7353
(407) 249-0808
(407) 658-4569
Mailing address
3221 S CONWAY RD, SUITE C, ORLANDO, FL 32812-7353
(407) 249-0808
(407) 658-4569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN20577
DENTAL LICENSE NUMBER
FL
Enumeration date
05/21/2014
Last updated
05/21/2014
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