Provider Demographics
NPI:1598804270
Name:DEVAUL, JANET (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:DEVAUL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:LYNN
Other - Last Name:KIRKPATRICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2189 CLEVELAND ST
Mailing Address - Street 2:SUITE 252
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3213
Mailing Address - Country:US
Mailing Address - Phone:727-461-9149
Mailing Address - Fax:727-446-8382
Practice Address - Street 1:7530 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5410
Practice Address - Country:US
Practice Address - Phone:727-525-8770
Practice Address - Fax:727-446-8382
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN10546122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist