Individual provider · Type 1 NPI
Jonathan Clinton Elmore, D.D.S
Oral and Maxillofacial Surgery (Dentist) · Orlando, FL
Practice location
12711 Narcoossee Rd Bldg B, #100
Orlando, FL 32832-4355
Mailing address
10524 Moss Park Rd Ste 204-616
Orlando, FL 32832-5898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 24213 (FL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1598021016
Jonathan Clinton Elmore, D.D.S's National Provider Identifier is 1598021016, issued on Apr 10, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Orlando, FL. The record was last updated on Jan 31, 2021.