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

MIGUEL ANGEL JUSINO, DMD, MS

Active Sole Proprietor

MIGUEL ANGEL JUSINO, DMD, MS is a Periodontology healthcare provider located in BONITA SPRINGS, Florida. NPI 1558511493 is currently active in the NPPES registry. Verify at CMS.

Periodontology · BONITA SPRINGS, FL

Registration Details

NPI Number
1558511493
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2008 (17.691347830619 yrs)
Last Updated
Dec 17, 2019
Licenses
DN23154 (FL)
2824 (PR)
125980 (PR)
Sole Proprietor
Yes

Practice Information

Address
28901 TRAILS EDGE BLVD STE 103
BONITA SPRINGS, FL, 341347588
Browse FL providers · Browse ZIP 34134
Phone
2399136780
Fax
2393012611
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Dentist
Additional Specialty
Periodontology

Other Periodontology Providers in BONITA SPRINGS, FL

Name Credential NPI
DR. JUAN M TEODORO DMD 1194899435
DR. GREGORY ASHER PETTE D.M.D., M.S. 1891921110
MARIA V DIAZ DMD 1295093755
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.