| Michael D. Vanover, D.d.s., P.a. | |
|
784 Blanding Blvd Ste 110 Orange Park FL 32065-8717 | |
| (904) 272-2438 | |
| (904) 272-6376 |
| Full Name | Michael D. Vanover, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 784 Blanding Blvd, Orange Park, Florida |
| Authorized Official Name and Position | Michael D Vanover (PRESIDENT) |
| Authorized Official Contact | 9042722438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Vanover, D.d.s., P.a. 784 Blanding Blvd Ste 110 Orange Park FL 32065-8717 Ph: (904) 272-2438 | Michael D. Vanover, D.d.s., P.a. 784 Blanding Blvd Ste 110 Orange Park FL 32065-8717 Ph: (904) 272-2438 |
| NPI Number | 1679628382 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679628382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16088 (Florida) | Primary |
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