Individual
JACK THOMAS ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11352 N WILLIAMS ST STE 505, DUNNELLON, FL 34432-8312
(352) 533-5030
Mailing address
32054 CONLEYS CHAPEL RD, LEWES, DE 19958-6021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30221
FL
Other
Enumeration date
04/02/2024
Last updated
05/13/2025
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