Homer, Jennifer Marie

Homer, Jennifer Marie is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Homer, Jennifer Marie can be contacted via phone (850) 883-8600.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7080-15 Wisconsin
Dental Providers / General Practice 1223G0001X 7080-15 Wisconsin
Dental Providers / General Practice 1223G0001X DN015596 Georgia
Dental Providers / General Practice 1223G0001X DN25620 Florida

Profile Details

NPI number 1922448117
LBN Legal business name Homer, Jennifer Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Dec 13th, 2021 - about 5 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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