Samuel B. Gaskins Iv Dmd Pa in Jacksonville - Dental

Samuel B. Gaskins Iv Dmd Pa - NPI 1598811754

Samuel B. Gaskins Iv Dmd Pa is a Dental in Jacksonville, Florida. Samuel B. Gaskins Iv Dmd Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Samuel B. Gaskins Iv Dmd Pa is 1598811754. The last update date is 2020-08-22.

Samuel B. Gaskins Iv Dmd Pa's current location address is 943 Cesery Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047444522 and fax number 9047442692. The mailing address for Samuel B. Gaskins Iv Dmd Pa is 943 Cesery Blvd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Samuel B. Gaskins Iv Dmd Pa
Address 943 Cesery Blvd, Jacksonville, Florida
Phone Number 9047444522
Fax Number 9047442692
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gaskins Belton Samuel
Credentials DMD
Telephone Number 9047444522

NPI Number Detail

NPI Number 1598811754
Provider Enumeration Date 2007-01-28
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 943 Cesery Blvd
City Jacksonville
State Florida (FL)
Post Code 322115635
Phone Number 9047444522
Fax Number 9047442692

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 11982
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Samuel B. Gaskins Iv Dmd Pa

What is the Samuel B. Gaskins Iv Dmd Pa's 1598811754?

The Samuel B. Gaskins Iv Dmd Pa's NPI (National Provider Identifier) Number is 1598811754. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Samuel B. Gaskins Iv Dmd Pa is physically located?

The Samuel B. Gaskins Iv Dmd Pa is situated at the following address: 943 Cesery Blvd, Jacksonville, FL 322115635.

What is the area of specialization for Samuel B. Gaskins Iv Dmd Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Samuel B. Gaskins Iv Dmd Pa is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1598811754 to Samuel B. Gaskins Iv Dmd Pa?

The Centers for Medicare & Medicaid Services originally issued the 1598811754 to Samuel B. Gaskins Iv Dmd Pa on 2007-01-28.

When was the information pertaining to Samuel B. Gaskins Iv Dmd Pa most recently updated or revised?

The details related to Samuel B. Gaskins Iv Dmd Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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