Provider Demographics
NPI:1073724175
Name:JAYMAN, JOHN RENE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RENE
Last Name:JAYMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1768 S SUNLIT SAND PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-7753
Mailing Address - Country:US
Mailing Address - Phone:410-259-4867
Mailing Address - Fax:
Practice Address - Street 1:6126 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5127
Practice Address - Country:US
Practice Address - Phone:520-298-2379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8716122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD08574776OtherDRIVERS LICENSE