Jump Dental, LLC

NPI #1861795312 in Bolivar, Missouri

Provider Information

NPI Number: 1861795312
Entity Type: Organization
Organization Name: Jump Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 6, 2010
Last Updated: Dec 6, 2010

Practice Location

Address: 1300 N OAKLAND AVE STE C
City: Bolivar
State: Missouri
ZIP Code: 65613-3008
Phone: (417) 326-2244

Authorized Official

Name: DR. TIMOTHY R JUMP, DDS
Title: OWNER
Phone: (417) 326-2244

Specialties & Taxonomy Codes

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

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