Individual
DR. HOWARD JAY SCHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
655 W 8TH ST, UFJP ORAL MAXILLOFACIAL SURGERY, JACKSONVILLE, FL 32209-6511
(904) 244-3216
(904) 244-3218
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DTP362
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DTP362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00055347
RAILROAD MEDICARE
FL
Enumeration date
02/19/2006
Last updated
08/28/2007
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