| Selena L Marchan, Dmd, Pa | |
|
13475 Atlantic Blvd Ste 36 Jacksonville FL 32225-3291 | |
| (904) 246-2603 | |
| (904) 247-9663 |
| Full Name | Selena L Marchan, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 13475 Atlantic Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Selena L Marchan (OWNER) |
| Authorized Official Contact | 9042215678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selena L Marchan, Dmd, Pa 13475 Atlantic Blvd Ste 36 Jacksonville FL 32225-3290 Ph: (904) 221-5678 | Selena L Marchan, Dmd, Pa 13475 Atlantic Blvd Ste 36 Jacksonville FL 32225-3291 Ph: (904) 246-2603 |
| NPI Number | 1003096579 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 03/01/2015 |
| Medicare PECOS PAC ID | 6103202320 |
|---|---|
| Medicare Enrollment ID | O20220926001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003096579 | NPI | - | NPPES |
| 816281 | Other | FL | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN13459 (Florida) | Primary |
| Provider Name | Selena Loterina Marchan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649380932 PECOS PAC ID: 8123321148 Enrollment ID: I20220926002028 |
Donald L. Smitha, Dds, Mds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Alderman Rd, Jacksonville, FL 32211 Phone: 904-725-8282 Fax: 904-725-7197 | |
Roger D. Robinson Jr., D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 Cardinal Point Drive, Jacksonville, FL 32257 Phone: 904-737-2040 Fax: 904-737-2051 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8440 Blanding Blvd, Jacksonville, FL 32244 Phone: 904-525-8041 Fax: 315-410-5531 | |
Ben Lewis, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 N Lee St, Jacksonville, FL 32204 Phone: 904-366-3736 | |
Joseph G Chiafair Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9471 Baymeadows Rd, Suite 101, Jacksonville, FL 32256 Phone: 904-739-3939 Fax: 904-739-1381 | |
Timothy J Parker Dmd Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 8351 Bayberry Rd, Jacksonville, FL 32256 Phone: 904-737-3263 Fax: 904-448-5301 |