Individual
ESSRA JAMEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(909) 582-9068
Mailing address
3043 BLUEBERRY LN, FRANKLIN, TN 37064-1764
(909) 582-9068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
109245
CA
122300000X
Dentist
12440
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
04/13/2025
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