DR. Forrest Robert Jerkins, D.D.S.

NPI #1659420115 in Fruitland Park, Florida

Provider Information

NPI Number: 1659420115
Entity Type: Individual
Name: DR. Forrest Robert Jerkins, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3360 US HWY 27
Address 2: SUITE A
City: Fruitland Park
State: Florida
ZIP Code: 34731-4141
Phone: (352) 728-8881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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