Individual
DR. TIMOTHY JOHN JERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL 34135-7896
(239) 498-7668
Mailing address
8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL 34135-7896
(239) 498-7668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008752
AZ
1223E0200X
Endodontics
D13301
MN
1223E0200X
Endodontics
Primary
DN27423
FL
Other
Enumeration date
06/18/2013
Last updated
02/07/2023
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