Provider Demographics
NPI:1952594293
Name:PLAMEMAC, JOVAN DJURO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOVAN
Middle Name:DJURO
Last Name:PLAMEMAC
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 1:895 JACKMAN ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3052
Mailing Address - Country:US
Mailing Address - Phone:619-447-3100
Mailing Address - Fax:619-447-3107
Practice Address - Street 1:895 JACKMAN ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3052
Practice Address - Country:US
Practice Address - Phone:619-447-3100
Practice Address - Fax:619-447-3107
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD26111OtherRENDERING