| John W Faul, Dmd, Pa | |
|
7435 State Road 21 Suite B Keystone Heights FL 32656-9301 | |
| (352) 473-8988 | |
| Not Available |
| Full Name | John W Faul, Dmd, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7435 State Road 21, Keystone Heights, Florida |
| Authorized Official Name and Position | John W Faul (PRESIDENT) |
| Authorized Official Contact | 3216267725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Faul, Dmd, Pa 140 Sw Grove St Keystone Heights FL 32656-9526 Ph: (321) 626-7725 | John W Faul, Dmd, Pa 7435 State Road 21 Suite B Keystone Heights FL 32656-9301 Ph: (352) 473-8988 |
| NPI Number | 1447469879 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 12/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447469879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN08155 (Florida) | Primary |