NPI 1144577602

Jolyn Rae Jaberi, DDS

Practitioner Dentist Prior Lake, MN

Practice location

Address: 16670 Franklin Trl SE STE 100, Prior Lake, MN 55372-2926
Phone: (952) 447-4611
Fax: (952) 447-4660

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D13151 (MN)

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Registry record

NPI: 1144577602
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2012
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.