| Lofton Creek Dental, Pa | |
|
109 Azalea Place Neptune Beach FL 32266 | |
| (404) 543-5366 | |
| Not Available |
| Full Name | Lofton Creek Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Azalea Place, Neptune Beach, Florida |
| Authorized Official Name and Position | Aaron Evens (OWNER) |
| Authorized Official Contact | 9049551151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lofton Creek Dental, Pa 463480 State Road 200 Yulee FL 32097 Ph: () - | Lofton Creek Dental, Pa 109 Azalea Place Neptune Beach FL 32266 Ph: (404) 543-5366 |
| NPI Number | 1407203078 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407203078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18137 (Florida) | Primary |
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