NPI 1215674049

Timothy Doral Robertson

Practitioner Dental Hygienist Jacksonville, FL

Practice location

Address: 1536 N Jefferson St, Jacksonville, FL 32209-6525
Phone: (904) 475-6230
Mailing address: 2750 Copperwood Ave, Orange Park, FL 32073-1686

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH21341 (FL)

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Registry record

NPI: 1215674049
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2022
Record last updated: 13 May 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.