Cavanaugh, Jennifer L

Cavanaugh, Jennifer L is an individual health care provider with primary practice located at 1111 N Parkway Frontage Rd , Lakeland FL 33803-0400. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Cavanaugh, Jennifer L can be contacted via phone (863) 644-2408.

Contact Information

Primary practice address
1111 N Parkway Frontage Rd Lakeland FL 33803-0400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS038741 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X DN19962 Florida

Profile Details

NPI number 1740577352
LBN Legal business name Cavanaugh, Jennifer L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2011
Last updated Jan 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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