| Jsk Family Dental, P.a. | |
|
7715 Gall Blvd Zephyrhills FL 33541-4315 | |
| (813) 782-4200 | |
| (813) 782-8523 |
| Full Name | Jsk Family Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7715 Gall Blvd, Zephyrhills, Florida |
| Authorized Official Name and Position | Kim Van Camp (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jsk Family Dental, P.a. Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Jsk Family Dental, P.a. 7715 Gall Blvd Zephyrhills FL 33541-4315 Ph: (813) 782-4200 |
| NPI Number | 1952756447 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952756447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19816 (Florida) | Primary |
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