Individual
DR. JAY MARSHALL SUVERKRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, PA
Contact information
Practice address
6010 N LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2525
(941) 358-8830
(941) 358-0442
Mailing address
6010 N LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2525
(941) 358-8830
(941) 358-0442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0008909
FL
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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