Individual
DR. JONATHAN RAY JOURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28095 THREE NOTCH RD, MECHANICSVILLE, MD 20659-3373
(301) 884-8133
Mailing address
28095 THREE NOTCH RD, MECHANICSVILLE, MD 20659-3373
(301) 884-8133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418042
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/28/2022
Last updated
08/18/2024
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