Provider Demographics
NPI:1225151053
Name:PARAMORE, JOLENE O (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOLENE
Middle Name:O
Last Name:PARAMORE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2226
Mailing Address - Country:US
Mailing Address - Phone:850-769-8277
Mailing Address - Fax:
Practice Address - Street 1:2240 W 24TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2226
Practice Address - Country:US
Practice Address - Phone:850-769-8277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL DN 116621223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics