Organization
JACOBS AND THATCHER DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN R. THATCHER D.M.D. (MANAGING MEMBER)
(813) 634-1932
Entity
Organization
Contact information
Practice address
1601 RICKENBACKER DR, SUITE #7, SUN CITY CENTER, FL 33573-5332
(813) 634-1932
(813) 634-8612
Mailing address
1601 RICKENBACKER DR, SUITE #7, SUN CITY CENTER, FL 33573-5332
(813) 634-1932
(813) 634-8612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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