| Dental Specialists Of North Florida | |
|
10 Saint Johns Medical Park Dr Ste C Saint Augustine FL 32086-5202 | |
| (904) 794-1000 | |
| (904) 794-1004 |
| Full Name | Dental Specialists Of North Florida |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10 Saint Johns Medical Park Dr Ste C, Saint Augustine, Florida |
| Authorized Official Name and Position | John W Thousand (OWNER) |
| Authorized Official Contact | 9047941000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialists Of North Florida 10 Saint Johns Medical Park Dr Ste C Saint Augustine FL 32086-5202 Ph: (904) 794-1000 | Dental Specialists Of North Florida 10 Saint Johns Medical Park Dr Ste C Saint Augustine FL 32086-5202 Ph: (904) 794-1000 |
| NPI Number | 1932623733 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932623733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN21628 (Florida) | Primary |
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