Individual
MR. JERRY HAMILTON CHEESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
217 NE FRANKLIN SREET, LAKE CITY, FL 32055
(386) 752-9914
(386) 758-2180
Mailing address
217 NE FRANKLIN STREET, LAKE CITY, FL 32055
(386) 752-9914
(386) 758-2180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11229
FL
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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