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Provider Information for 1023142148


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Dr. WILLIAM JARMOLYCH D.D.S.


Sex: Male

NPI: 1023142148
Last Updated: 2011-11-14
Certification Date:

Details

NameValue
NPI1023142148
Enumeration Date2007-03-14
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1935 DREW ST
CLEARWATER, FL 33765-3041
United States

Phone: 727-449-2424 | Fax:727-447-3438
 
Primary Practice Address 1935 DREW ST
CLEARWATER, FL 33765-3041
United States

Phone: 727-449-2424 | Fax:727-447-3438
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1223P0106X - Dentist - Oral and Maxillofacial PathologyFLFL0013292