| Middleburg Family Dental Care | |
|
1776 Blanding Blvd Middleburg FL 32068-3836 | |
| (904) 406-8553 | |
| Not Available |
| Full Name | Middleburg Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1776 Blanding Blvd, Middleburg, Florida |
| Authorized Official Name and Position | Allison Varner (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middleburg Family Dental Care 1776 Blanding Blvd Middleburg FL 32068-3836 Ph: (904) 406-8553 | Middleburg Family Dental Care 1776 Blanding Blvd Middleburg FL 32068-3836 Ph: (904) 406-8553 |
| NPI Number | 1982005625 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 09/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982005625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20726 (Florida) | Primary |
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