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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAY WICKERSHAM

Active

JAY WICKERSHAM is a Dentist healthcare provider located in RIVERVIEW, Florida. NPI 1285251389 is currently active in the NPPES registry. Verify at CMS.

Dentist · RIVERVIEW, FL

Registration Details

NPI Number
1285251389
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2020 (5.9252518086441 yrs)
Last Updated
Jul 6, 2020
License
DN25056 (FL)

Practice Information

Address
12926 US HIGHWAY 301 S STE 5
RIVERVIEW, FL, 335787458
Browse FL providers · Browse ZIP 33578
Phone
2175405100
Primary Specialty
Dentist
122300000X

Other Dentist Providers in RIVERVIEW, FL

Name Credential NPI
DR. THUVAN THI VO DMD 1821076944
DR. DANOOSH SHIRAVAND AMROOEI D.M.D 1689838666
DR. ANDREW DALE POULSON D.M.D. 1235541004
DR. PAYAL MEGAN ARORA D.M.D. 1356723407
DR. ROSALIA APHRODITE KICKISH DMD 1033592399
DR. SANDRA M SANTOS D.M.D. 1669831004
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.