Michael Jordan Fetner, D.M.D., M.S.

Periodontics · Jacksonville, FL

Individual Active NPI

NPI number 1871895680

Practice location

7043 Southpoint Pkwy S Ste B
Jacksonville, FL 32216-8742
Phone
(904) 296-8343

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NPI record

NPI
1871895680
Entity type
Individual (Type 1)
Enumeration date
November 30, 2010
Last updated
June 23, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DN19049 FL

About Dr. Fetner

Michael Jordan Fetner, D.M.D., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 7043 Southpoint Pkwy S Ste B, Jacksonville, FL 32216-8742. The NPI number 1871895680 was assigned on November 30, 2010 and the record was last updated on June 23, 2016.

Dr. Fetner lists a license in the registry: #DN19049 (FL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Jordan Fetner, D.M.D., M.S.?

The NPI number is 1871895680.

What is the phone number of Dr. Fetner?

The phone number listed for the practice location is (904) 296-8343.

Where is Dr. Fetner located?

7043 Southpoint Pkwy S Ste B, Jacksonville, FL 32216-8742.

What is the taxonomy code for Dr. Fetner?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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