JAY WICKERSHAM
Dentist
Active
Individual
NPI: 1285251389
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | DN25056 (FL) |
Frequently Asked Questions
NPI 1285251389 is the National Provider Identifier for JAY WICKERSHAM, a Dentist provider located in Riverview, FL. This NPI was enumerated on July 6, 2020.
JAY WICKERSHAM practices at 12926 US HIGHWAY 301 S STE 5, Riverview, FL 33578.
Quick Facts
- NPI
- 1285251389
- Type
- Individual
- Enumerated
- Jul 6, 2020
- Last Updated
- Jul 6, 2020
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