IndividualActive
Jonathan Visscher, D.D.S.
NPI 1053560565 · General Practice Dentistry · Tamuning, GU
Provider details
- NPI number
- 1053560565
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D-1013 (GU)
Specialties & taxonomies
Dental Providers
Mailing address
388 Ypao Rd
Tamuning, GU 96913-3701
Registry dates
- Enumerated
- 2008-09-09
- Last updated
- 2008-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.