Individual
JAMELYN GOODPASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5823 MAIN ST, NEW PORT RICHEY, FL 34652-2713
(804) 833-4739
Mailing address
2401 STIRLING CIR UNIT 105, DUNEDIN, FL 34698-7059
(317) 847-9782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26935
FL
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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