Jerrell, Roy Gregory

Jerrell, Roy Gregory is an individual health care provider with primary practice located at 1600 Sw Archer Road D4-4, Gainesville FL 32610-0405. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Jerrell, Roy Gregory can be contacted via phone (352) 273-5800.

Contact Information

Primary practice address
1600 Sw Archer Road D4-4 Gainesville FL 32610-0405
Phone: (352) 273-5800
Fax: (352) 392-3070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DTP 267 Florida

Profile Details

NPI number 1932159803
LBN Legal business name Jerrell, Roy Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 13th, 2026 - about 3 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932159803 NPPES
Florida MEDICAID DT 0000267

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