Provider Demographics
NPI:1972704377
Name:JEFFERS, JANIS J (DMD)
Entity type:Individual
Prefix:DR
First Name:JANIS
Middle Name:J
Last Name:JEFFERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81990 OVERSEAS HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ISLAMORADA
Mailing Address - State:FL
Mailing Address - Zip Code:33036-3614
Mailing Address - Country:US
Mailing Address - Phone:305-664-4282
Mailing Address - Fax:305-664-0694
Practice Address - Street 1:81990 OVERSEAS HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:ISLAMORADA
Practice Address - State:FL
Practice Address - Zip Code:33036-3614
Practice Address - Country:US
Practice Address - Phone:305-664-4282
Practice Address - Fax:305-664-0694
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO93241223G0001X
FL134331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice