Individual
TIMOTHY C JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
647 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 563-0680
Mailing address
647 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 563-0680
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN015825
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN87210
FL
Other
Enumeration date
03/27/2015
Last updated
04/26/2023
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