Jasen Genninger
Jasen Genninger practises General Practice Dentistry in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
Practice location Address checks out
511 W Brandon BlvdBrandon, FL 33511-5003 Not confirmed with CMS for 11 years — call before visiting
Phone: (813) 381-5632
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN 21566 (FL) |
|---|
Record details
| NPI number | 1780054593 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 6, 2015 |
| Last updated in NPPES | October 6, 2015 |
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