Organization
J TIMOTHY DOERNER DDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOERNER (OWNER)
(727) 791-1099
Entity
Organization
Contact information
Practice address
2763 STATE ROAD 580, CLEARWATER, FL 33761-3350
(727) 791-1099
Mailing address
2763 STATE ROAD 580, CLEARWATER, FL 33761-3350
(727) 791-1099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
09/14/2016
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