Individual
JAHNE BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18947 JOHN J WILLIAMS HWY UNIT 301, REHOBOTH BEACH, DE 19971-4477
(302) 645-7200
Mailing address
108 LAKESIDE DR, LEWES, DE 19958-8925
(845) 546-1550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0011583
DE
1223G0001X
General Practice Dentistry
10421
KY
1223G0001X
General Practice Dentistry
DD4955
NM
1223G0001X
General Practice Dentistry
DS044000
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2017
Last updated
03/16/2025
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