Individual
JEFFREY OPPENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11935 85TH ST, LARGO, FL 33773-2718
(727) 410-1162
Mailing address
11935 85TH ST, LARGO, FL 33773-2718
(727) 410-1162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN8942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075594000
—
FL
Enumeration date
12/03/2009
Last updated
10/13/2016
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