Mary Jazzar, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH20699 Issued in FL

Practice address

6807 46TH Ter E
Bradenton, FL 34203-4251

Phone

(941) 752-4860

Fax

(941) 752-4860

NPI assigned

Aug 27, 2016

Last updated

Aug 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472256000000",
    "number": "1457807760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 46TH TER E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034251",
            "telephone_number": "941-752-4860",
            "fax_number": "941-752-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 46TH TER E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034251",
            "telephone_number": "941-752-4860",
            "fax_number": "941-752-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZZAR",
        "first_name": "MARY",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH20699",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902003339",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NC",
            "license": "7512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Charles Jawitz, MD
• Jennys Jay Costa
• Jay Crump OD PA (Florida Eye Care Clinic)
• Jay R. Froug, D.M.D., P.a. D/B/a Pinebrook Dental Center
• Kasthuri E Jayaraj, M.D.
• Jduboisdnp LLC
• Sheila Marie Jean Huntley, APRN, FNP-C
• Nerlande Jean-Pierre, COTA
• Marie Jean
• Cassandra L Jeandell

• Dental Hygienist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.