| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JONATHAN MICHAEL DREW | 1447733407 | 2022-11-19 |
Jonathan Michael Drew is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447733407. Registration indicates Jonathan Michael Drew is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Orthodontics and Dentofacial Orthopedics, ) (Dental, ) (Dentist Orthodontics and Dentofacial Orthopedics, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Jonathan Michael Drew DDS, MS |
| Practice Office Address | 120 9TH ST LAKEPORT, CA US |
| Practice Office Telephone | 7072635390 |
| Mailing Address | 3240 FINCH DR SAN JOSE, CA 951173512 US |
| Business Telephone | 4083149870 |
| Code | Practice | License No State |
|---|---|---|
| 1223X0400X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Orthodontics and Dentofacial Orthopedics Dental Dentist Orthodontics and Dentofacial Orthopedics Dental Providers Dentist | 102563
CA |