Fajardo, Juan Jose

Fajardo, Juan Jose is an sole proprietor health care provider with primary practice located at 4789 Sw 148Th Ave Ste 205 , Davie FL 33330-2121. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Fajardo, Juan Jose can be contacted via phone (954) 252-5911.

Contact Information

Primary practice address
4789 Sw 148Th Ave Ste 205 Davie FL 33330-2121
Phone: (954) 252-5911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN25194 Florida
Dental Providers / Dentist 122300000X DRP2164 Florida

Profile Details

NPI number 1275150799
LBN Legal business name Fajardo, Juan Jose
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2020
Last updated Oct 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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