Kristan David Podvia in Jacksonville - General Practice

Kristan David Podvia - NPI 1447350988

Kristan David Podvia is a General Practice in Jacksonville, Florida. Kristan David Podvia practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kristan David Podvia is 1447350988. The last update date is 2013-05-29.

Kristan David Podvia's current location address is 3118 New Berlin Road, Jacksonville, Florida. You can contact this provider via phone number 9047655573 and fax number 9047655515. The mailing address for Kristan David Podvia is 3118 New Berlin Road, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristan David Podvia
Address 3118 New Berlin Road, Jacksonville, Florida
Phone Number 9047655573
Fax Number 9047655515
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1447350988
Provider Enumeration Date 2006-09-24
Last Updated Date 2013-05-29

Provider Mailing Address Detail

Address 3118 New Berlin Road
City Jacksonville
State Florida (FL)
Post Code 32226
Phone Number 9047655573
Fax Number 9047655515

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN14557
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kristan David Podvia

What is the unique identification code assigned to Kristan David Podvia by the Centers for Medicare & Medicaid Services?

The Kristan David Podvia has been issued the NPI (National Provider Identifier) 1447350988. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Kristan David Podvia located?

The Kristan David Podvia is located at 3118 New Berlin Road, Jacksonville, FL 32226.

What is Kristan David Podvia's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kristan David Podvia is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Kristan David Podvia receive the assignment of its 1447350988 from the Centers for Medicare & Medicaid Services?

The Kristan David Podvia was issued its 1447350988 by the Centers for Medicare & Medicaid Services on 2006-09-24.

When was the information regarding Kristan David Podvia, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kristan David Podvia, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-29.

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