Dr. Joseph Lee Dejongh, D.M.D.
Dentist, General Practice in Gainesville, FL. Individual provider (NPI-1).
NPI number1619083409
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1619083409
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Lee Dejongh
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN 17082 | FL | Yes |
Practice location
1600 Sw Archer RdD4-4
Gainesville, FL 32610-3003
Phone 352-273-5800 · Fax 352-392-3070
Mailing address
Po Box 100405Gainesville, FL 32610-0405
Phone 352-273-5440 · Fax 352-392-3070
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