Fetner, Michael Jordan

Fetner, Michael Jordan is an sole proprietor health care provider with primary practice located at 7043 Southpoint Pkwy S Ste B , Jacksonville FL 32216-8742. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Fetner, Michael Jordan can be contacted via phone (904) 296-8343.

Contact Information

Primary practice address
7043 Southpoint Pkwy S Ste B Jacksonville FL 32216-8742
Phone: (904) 296-8343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN19049 Florida

Profile Details

NPI number 1871895680
LBN Legal business name Fetner, Michael Jordan
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2010
Last updated Jun 23rd, 2016 - about 10 years ago

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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