Godwin, Jenna Danielle

Godwin, Jenna Danielle is an individual health care provider with primary practice located at 3302 W Azeele St , Tampa FL 33609-2975. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Godwin, Jenna Danielle can be contacted via phone (813) 877-8066.

Contact Information

Primary practice address
3302 W Azeele St Tampa FL 33609-2975
Phone: (813) 877-8066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19457 Florida
Dental Providers / General Practice 1223G0001X DN19457 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN19457 Florida

Profile Details

NPI number 1588943013
LBN Legal business name Godwin, Jenna Danielle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2011
Last updated Sep 1st, 2020 - about 6 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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