Individual
JEFFREY LYNN MISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
314 W FIFTH ST, CARSON CITY, NV 89703-4604
(775) 882-1111
(775) 882-1120
Mailing address
314 W FIFTH ST, CARSON CITY, NV 89703-4604
(775) 882-1111
(775) 882-1120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7399
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZE319828G
OTHER
ID
Enumeration date
08/17/2020
Last updated
08/17/2020
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