Jernberg, Timothy John
Jernberg, Timothy John is an individual health care provider with primary practice located at 8899 Timberwilde Dr Ste 3 , Bonita Springs FL 34135-7896. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Jernberg, Timothy John can be contacted via phone (239) 498-7668.Contact Information
Primary practice address
8899 Timberwilde Dr Ste 3
Bonita Springs FL 34135-7896
Phone: (239) 498-7668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D008752 | Arizona |
| Dental Providers / Endodontics | 1223E0200X | D13301 | Minnesota |
| Dental Providers / Endodontics | 1223E0200X | DN27423 | Florida |
Profile Details
| NPI number | 1285073700 |
|---|---|
| LBN Legal business name | Jernberg, Timothy John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2013 |
| Last updated | Feb 7th, 2023 - about 3 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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