Jurecko, Kevin R

Jurecko, Kevin R is an sole proprietor health care provider with primary practice located at 2086 Sw Main Blvd Suite #113, Lake City FL 32025-0005. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Jurecko, Kevin R can be contacted via phone (386) 758-6050.

Contact Information

Primary practice address
2086 Sw Main Blvd Suite #113 Lake City FL 32025-0005
Phone: (386) 758-6050
Fax: (386) 758-7742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 0005418 Florida

Profile Details

NPI number 1578615027
LBN Legal business name Jurecko, Kevin R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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