Organization
JASON G SEYMOUR DMD & KATHLEEN HALEY-SEYMOUR DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON GARY SEYMOUR D.M.D. (PRESIDENT OF CORPORATION)
(850) 682-4724
Entity
Organization
Contact information
Practice address
297 E HICKORY AVE, CRESTVIEW, FL 32536-2735
(850) 682-4724
Mailing address
297 E HICKORY AVE, CRESTVIEW, FL 32536-2735
(850) 682-4724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN0014029
FL
1223G0001X
General Practice Dentistry
Primary
DN0014058
FL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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