Individual provider · Type 1 NPI
Michael Jordan Fetner, DMD, M.S.
Periodontics · Jacksonville, FL
NPI number
1871895680
Active
Practice location
7043 Southpoint Pkwy S Ste B
Jacksonville, FL 32216-8742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN19049 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
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About NPI 1871895680
Michael Jordan Fetner, DMD, M.S.'s National Provider Identifier is 1871895680, issued on Nov 30, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 23, 2016.