Individual
DR. JIMMIE DWIGHT LASSITER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5285 COMMERCE ST, JAY, FL 32565-1179
(850) 675-8545
(850) 675-1950
Mailing address
3200 COBBTOWN RD, JAY, FL 32565-9206
(850) 675-6715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0014325
FL
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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