Individual
DR. JAZMIN TYSHEEMAH FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13135 LEE JACKSON MEMORIAL HWY STE 110, FAIRFAX, VA 22033-1909
(703) 436-1010
(703) 436-1122
Mailing address
12705 THERESA DR, SILVER SPRING, MD 20904-3561
(908) 472-5358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401413945
VA
1223G0001X
General Practice Dentistry
22D102530000
NJ
1223P0221X
Pediatric Dentistry
Primary
0401413945
VA
1223P0221X
Pediatric Dentistry
34799
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2012
Last updated
09/17/2022
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