Organization
JS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE F SCHERRMAN DDS (OWNER/DOCTOR)
(573) 334-5545
Entity
Organization
Contact information
Practice address
2845 PROFESSIONAL CT, CAPE GIRARDEAU, MO 63703-5035
(573) 334-5545
(573) 334-4896
Mailing address
2845 PROFESSIONAL CT, CAPE GIRARDEAU, MO 63703-5035
(573) 334-5545
(573) 334-4896
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
015413
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401023403
—
MO
05
—
408682300
—
MO
Enumeration date
03/09/2017
Last updated
03/09/2017
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