Provider Demographics
NPI:1508977273
Name:GERMAN, JULIA
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:GERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 HIGHWAY 466 STE C-102
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-3909
Mailing Address - Country:US
Mailing Address - Phone:352-336-8478
Mailing Address - Fax:352-775-1727
Practice Address - Street 1:809 HIGHWAY 466 STE C-102
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3909
Practice Address - Country:US
Practice Address - Phone:352-336-8478
Practice Address - Fax:352-775-1727
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN163421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice