Individual
MR. JASON P MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3830 S HIGHWAY A1A, SUITE 1, MELBOURNE BEACH, FL 32951
(321) 728-0025
(321) 724-6538
Mailing address
3830 S HIGHWAY A1A, SUITE 1, MELBOURNE BEACH, FL 32951
(321) 728-0025
(321) 724-6538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17139
FL
Other
Enumeration date
09/26/2006
Last updated
11/16/2021
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