| Orange Park Dentistry | |
|
784 Blanding Blvd Ste 110 Orange Park FL 32065-7724 | |
| (904) 272-2438 | |
| Not Available |
| Full Name | Orange Park Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 784 Blanding Blvd Ste 110, Orange Park, Florida |
| Authorized Official Name and Position | Peter Kelly (OWNER) |
| Authorized Official Contact | 9042722438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Park Dentistry 784 Blanding Blvd Ste 110 Orange Park FL 32065-7724 Ph: (904) 272-2438 | Orange Park Dentistry 784 Blanding Blvd Ste 110 Orange Park FL 32065-7724 Ph: (904) 272-2438 |
| NPI Number | 1780342352 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780342352 | NPI | - | NPPES |
| DN19430 | Other | FL | STATE LICENSE |
| DN26279 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Gerald K. Weaver, D.m.d. And Michael Stratton, D.m.d., Pediatric Denti Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1584 Kingsley Ave Ste B, Orange Park, FL 32073 Phone: 904-264-5437 Fax: 904-485-8417 | |
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Comfortable Care Dental Health Professionals. P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 Phone: 217-540-5100 | |
Coast Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Blanding Blvd Ste 6b, Orange Park, FL 32073 Phone: 904-276-5950 Fax: 904-276-5359 | |
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