JACKSONVILLE DENTAL SPECIALISTS

Dentist - Prosthodontics

Active Organization
NPI: 1568915387

Practice Address

11512 LAKE MEAD AVE
STE. 532
Jacksonville, FL 32256

Phone: (904) 460-4201

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X No DN16648 (FL)
Dentist - Prosthodontics 1223P0700X Yes DN18280 (FL)

Frequently Asked Questions

NPI 1568915387 is the National Provider Identifier for JACKSONVILLE DENTAL SPECIALISTS, a Dentist - Prosthodontics provider located in Jacksonville, FL. This NPI was enumerated on July 28, 2016.

Quick Facts

NPI
1568915387
Type
Organization
Enumerated
Jul 28, 2016
Last Updated
Jul 28, 2016

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