| Professional Dental Alliance Of Fernandina Beach, Pllc | |
|
2896 S 8th St Fernandina FL 32034-4462 | |
| (904) 261-6826 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Fernandina Beach, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2896 S 8th St, Fernandina, Florida |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7575765479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Fernandina Beach, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: () - | Professional Dental Alliance Of Fernandina Beach, Pllc 2896 S 8th St Fernandina FL 32034-4462 Ph: (904) 261-6826 |
| NPI Number | 1740810951 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740810951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |