Advanced Dental Care Of Jacksonville Pa in Jacksonville - Dentist
Advanced Dental Care Of Jacksonville Pa - NPI 1093849895
Advanced Dental Care Of Jacksonville Pa is a Dentist in Jacksonville, Florida. Advanced Dental Care Of Jacksonville Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Advanced Dental Care Of Jacksonville Pa is 1093849895. The last update date is 2010-05-17.
Advanced Dental Care Of Jacksonville Pa's current location address is 4540 Southside Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047254433. The mailing address for Advanced Dental Care Of Jacksonville Pa is 4540 Southside Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dental Care Of Jacksonville Pa |
|---|---|
| Address | 4540 Southside Blvd, Jacksonville, Florida |
| Phone Number | 9047254433 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INSURANCE |
|---|---|
| Authorized Official Name | Cole Mike |
| Telephone Number | 7277261611 |
NPI Number Detail
| NPI Number | 1093849895 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2010-05-17 |
Provider Mailing Address Detail
| Address | 4540 Southside Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322165492 |
| Phone Number | 9047254433 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Advanced Dental Care Of Jacksonville Pa by the Centers for Medicare & Medicaid Services?
The Advanced Dental Care Of Jacksonville Pa has been assigned the NPI (National Provider Identifier) 1093849895 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Advanced Dental Care Of Jacksonville Pa?
The Advanced Dental Care Of Jacksonville Pa is physically situated at 4540 Southside Blvd, in the city of Jacksonville, state of FL, with the postal code 322165492.
What is Advanced Dental Care Of Jacksonville Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Advanced Dental Care Of Jacksonville Pa is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093849895 to Advanced Dental Care Of Jacksonville Pa?
The Centers for Medicare & Medicaid Services originally issued the 1093849895 to Advanced Dental Care Of Jacksonville Pa on 2007-03-15.
As of what date was the information regarding Advanced Dental Care Of Jacksonville Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Advanced Dental Care Of Jacksonville Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-05-17.
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