Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN R JURECKO, DDS
Active Sole ProprietorKEVIN R JURECKO, DDS is a Endodontics healthcare provider located in LAKE CITY, Florida. NPI 1578615027 is currently active in the NPPES registry. Verify at CMS.
Endodontics · LAKE CITY, FL
Registration Details
- NPI Number
- 1578615027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2007 (19.547819452415 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0005418 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2086 SW MAIN BLVDSUITE #113LAKE CITY, FL, 320250005Browse FL providers · Browse ZIP 32025
- Phone
- 3867586050
- Fax
- 3867587742
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in LAKE CITY, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL CARRAWAY FOREMAN | D.M.D., M.S. | 1487852547 |
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.