| Jc Family Dentistry Pa | |
|
485 State Road 13 Ste 4 Saint Johns FL 32259-2993 | |
| (904) 230-2961 | |
| Not Available |
| Full Name | Jc Family Dentistry Pa |
|---|---|
| Speciality | Dentist |
| Location | 485 State Road 13 Ste 4, Saint Johns, Florida |
| Authorized Official Name and Position | Jonathan Cohen (PRESIDENT) |
| Authorized Official Contact | 9042302961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Family Dentistry Pa 485 State Road 13 Ste 4 Saint Johns FL 32259-2993 Ph: (904) 230-2961 | Jc Family Dentistry Pa 485 State Road 13 Ste 4 Saint Johns FL 32259-2993 Ph: (904) 230-2961 |
| NPI Number | 1518464866 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518464866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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