Windom, Jon

Windom, Jon is an individual health care provider with primary practice located at 1081 A1A Beach Blvd , St Augustine FL 32080-6733. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Windom, Jon can be contacted via phone (904) 471-3291.

Contact Information

Primary practice address
1081 A1A Beach Blvd St Augustine FL 32080-6733
Phone: (904) 471-3291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN14686 Florida

Profile Details

NPI number 1205043809
LBN Legal business name Windom, Jon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Sep 2nd, 2015 - about 10 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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