Individual
JEFFREY W. LINEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4301 N BANANA RIVER BLVD, COCOA BEACH, FL 32931-3697
(321) 783-7514
Mailing address
4301 N BANANA RIVER BLVD, COCOA BEACH, FL 32931-3697
(321) 783-7514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10456
SC
1223G0001X
General Practice Dentistry
7148
NC
1223G0001X
General Practice Dentistry
Primary
DN31185
FL
Other
Enumeration date
06/02/2005
Last updated
01/27/2026
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