Individual
SIMUEL LAZAAR JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
DEPT OF THE ARMY, DENTAL ACTIVITY, STOP B, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Mailing address
DEPT OF THE ARMY, DENTAL ACTIVITY, STOP B, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7435
KY
Other
Enumeration date
12/21/2005
Last updated
07/13/2026
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