Jay R. Froug, D.m.d., P.a. D/b/a Pinebrook Dental Center

NPI #1811107485 in Bradenton, Florida

Provider Information

NPI Number: 1811107485
Entity Type: Organization
Organization Name: Jay R. Froug, D.m.d., P.a. D/b/a Pinebrook Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: May 23, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 4868 CORTEZ RD W
City: Bradenton
State: Florida
ZIP Code: 34210-2803
Phone: (941) 795-0877

Authorized Official

Name: DR. JAY RICHARD FROUG, DMD
Title: OWNER
Phone: (941) 795-0877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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