Individual
DR. DIXIE JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4140 WOODMERE PARK BLVD STE 1, VENICE, FL 34293-2205
(941) 493-5923
Mailing address
894 HILLCREST DR, NOKOMIS, FL 34275-2374
(941) 713-4943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24263
FL
Other
Enumeration date
06/20/2019
Last updated
10/26/2021
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