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Individual

DR. JEREMY FRANCIS SCARPATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236
(210) 292-6225
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN16064
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16064
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN16064
DENTAL LICENSE
FL
Enumeration date
08/31/2005
Last updated
01/13/2021
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