| South Village Dental, P.a. | |
|
339 Colony Blvd The Villages FL 32162-6084 | |
| (904) 998-7000 | |
| Not Available |
| Full Name | South Village Dental, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 339 Colony Blvd, The Villages, Florida |
| Authorized Official Name and Position | Amber Parks (SENIOR ACCOUNT SPECIALIST) |
| Authorized Official Contact | 9049987000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Village Dental, P.a. 3545 Saint Johns Bluff Rd S # 352 Jacksonville FL 32224-2682 Ph: (904) 998-7000 | South Village Dental, P.a. 339 Colony Blvd The Villages FL 32162-6084 Ph: (904) 998-7000 |
| NPI Number | 1760907711 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 08/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760907711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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