Marion C Eldridge in Jacksonville - Endodontics
Marion C Eldridge - NPI 1881736064
Marion C Eldridge is a Endodontics in Jacksonville, Florida. Marion C Eldridge practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Marion C Eldridge is 1881736064. The last update date is 2007-07-08.
Marion C Eldridge's current location address is 12078 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042606111 and fax number 9042606331. The mailing address for Marion C Eldridge is 12078 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marion C Eldridge |
|---|---|
| Address | 12078 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9042606111 |
| Fax Number | 9042606331 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1881736064 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12078 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231842 |
| Phone Number | 9042606111 |
| Fax Number | 9042606331 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DN8643 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code assigned to Marion C Eldridge by the Centers for Medicare & Medicaid Services?
The Marion C Eldridge has been issued the NPI (National Provider Identifier) 1881736064, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Marion C Eldridge's facilities are geographically located?
The facilities of Marion C Eldridge are physically situated at the following location: 12078 San Jose Blvd, Jacksonville, FL, 322231842.
What is the area of specialization for Marion C Eldridge, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marion C Eldridge is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881736064 to Marion C Eldridge?
The Centers for Medicare & Medicaid Services assigned the 1881736064 to Marion C Eldridge on 2007-02-13.
As of what date were the Marion C Eldridge's details last updated?
The information pertaining to the Marion C Eldridge, including its address, specialty, and other details, was most recently updated on 2007-07-08.