Individual
DR. ROY GREGORY JERRELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1600 SW ARCHER ROAD, D4-4, GAINESVILLE, FL 32610-0405
(352) 273-5800
(352) 392-3070
Mailing address
PO BOX 100405, GAINESVILLE, FL 32610-0405
(352) 392-2954
(352) 392-3070
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DTP 267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT 0000267
—
FL
Enumeration date
05/11/2006
Last updated
03/07/2023
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