Provider Demographics
NPI:1326621673
Name:GOLVEO, JAYMAR VINCENT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAYMAR
Middle Name:VINCENT
Last Name:GOLVEO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAYMAR
Other - Middle Name:VINCENT
Other - Last Name:GOLVEO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:12812 B 3RD AVE. SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208
Mailing Address - Country:US
Mailing Address - Phone:425-745-3766
Mailing Address - Fax:
Practice Address - Street 1:12812 B 3RD AVE. SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-5511
Practice Address - Country:US
Practice Address - Phone:425-329-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61172685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist