James Douglas Jersak, D.D.S.

Dentist · Springfield, MO

Individual Active NPI

NPI number 1932250404

Practice location

1722 S Glenstone Ave
Ee
Springfield, MO 65804-1519
Phone
(417) 887-4435
Fax
(417) 823-9436

Open in Google Maps

NPI record

NPI
1932250404
Entity type
Individual (Type 1)
Enumeration date
January 13, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 13617 MO

About Dr. Jersak

James Douglas Jersak, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1722 S Glenstone Ave, Ee, Springfield, MO 65804-1519. The NPI number 1932250404 was assigned on January 13, 2007 and the record was last updated on July 8, 2007.

Dr. Jersak lists a license in the registry: #13617 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James Douglas Jersak, D.D.S.?

The NPI number is 1932250404.

What is the phone number of Dr. Jersak?

The phone number listed for the practice location is (417) 887-4435.

Where is Dr. Jersak located?

1722 S Glenstone Ave, Ee, Springfield, MO 65804-1519.

What is the taxonomy code for Dr. Jersak?

The primary taxonomy code is 122300000X – Dentist.

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.

Other Dentist providers in Springfield

All Dentist providers in Springfield, MO →