Jacob J. Bissonette Dds, LLC

NPI #1528503786 in Greenfield, Ohio

Provider Information

NPI Number: 1528503786
Entity Type: Organization
Organization Name: Jacob J. Bissonette Dds, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 27, 2016
Last Updated: Dec 27, 2016

Practice Location

Address: 1045 JEFFERSON ST STE A
City: Greenfield
State: Ohio
ZIP Code: 45123-8428
Phone: (937) 242-6677

Authorized Official

Name: DR. JACOB JOSEPH BISSONETTE, DDS
Title: OWNER/OPERATOR
Phone: (937) 242-6677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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