| Palm Valley Family Dentistry, Pllc | |
|
3791 Palm Valley Rd Ste 205 Ponte Vedra Beach FL 32082-4180 | |
| (904) 834-2736 | |
| Not Available |
| Full Name | Palm Valley Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3791 Palm Valley Rd Ste 205, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Mckenzie Worten (OFFICE MANAGER) |
| Authorized Official Contact | 9048342736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Valley Family Dentistry, Pllc 3791 Palm Valley Rd Ste 205 Ponte Vedra Beach FL 32082-4180 Ph: (904) 834-2736 | Palm Valley Family Dentistry, Pllc 3791 Palm Valley Rd Ste 205 Ponte Vedra Beach FL 32082-4180 Ph: (904) 834-2736 |
| NPI Number | 1790500908 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790500908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Palm Valley Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3791 Palm Valley Rd, Suite 205, Ponte Vedra Beach, FL 32082 Phone: 904-834-2736 Fax: 904-834-2737 |