Jasen Genninger is a general practice dentist in Brandon, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Jasen Genninger NPI is 1780054593. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
511 W BRANDON BLVD
BRANDON, FL
ZIP 33511-003
Phone: (813) 381-5632
The NPI 1780054593 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 10/6/2015 and was last updated on 10/6/2015.