| Florida Sedation, Implant And Dental Surgery Associates, Llc | |
|
3 Cypress Branch Way Ste 107 Palm Coast FL 32164-8410 | |
| (386) 986-1000 | |
| (386) 446-1033 |
| Full Name | Florida Sedation, Implant And Dental Surgery Associates, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3 Cypress Branch Way Ste 107, Palm Coast, Florida |
| Authorized Official Name and Position | John W Thousand (OWNER) |
| Authorized Official Contact | 3869861000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Sedation, Implant And Dental Surgery Associates, Llc 3 Cypress Branch Way Ste 107 Palm Coast FL 32164-8410 Ph: (386) 986-1000 | Florida Sedation, Implant And Dental Surgery Associates, Llc 3 Cypress Branch Way Ste 107 Palm Coast FL 32164-8410 Ph: (386) 986-1000 |
| NPI Number | 1104340991 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104340991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN201628 (Florida) | Primary |
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