Ponce De Leon Family Dentistry in Saint Augustine - Dental
Ponce De Leon Family Dentistry - NPI 1801059480
Ponce De Leon Family Dentistry is a Dental in Saint Augustine, Florida. Ponce De Leon Family Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Ponce De Leon Family Dentistry is 1801059480. The last update date is 2008-07-03.
Ponce De Leon Family Dentistry's current location address is 4 Saint Johns Medical Pk Dr, Saint Augustine, Florida. You can contact this provider via phone number 9047979009 and fax number 9047979057. The mailing address for Ponce De Leon Family Dentistry is 4 Saint Johns Medical Pk Dr, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ponce De Leon Family Dentistry |
|---|---|
| Address | 4 Saint Johns Medical Pk Dr, Saint Augustine, Florida |
| Phone Number | 9047979009 |
| Fax Number | 9047979057 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Haeussner Daniel Theodore |
| Telephone Number | 9047978247 |
NPI Number Detail
| NPI Number | 1801059480 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 4 Saint Johns Medical Pk Dr |
|---|---|
| City | Saint Augustine |
| State | Florida (FL) |
| Post Code | 320865298 |
| Phone Number | 9047979009 |
| Fax Number | 9047979057 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique identifier code issued to Ponce De Leon Family Dentistry by the Centers for Medicare & Medicaid Services?
The Ponce De Leon Family Dentistry has been assigned the NPI (National Provider Identifier) 1801059480. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ponce De Leon Family Dentistry located?
The Ponce De Leon Family Dentistry is located at 4 Saint Johns Medical Pk Dr, Saint Augustine, FL 320865298.
What is Ponce De Leon Family Dentistry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ponce De Leon Family Dentistry's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
When did Ponce De Leon Family Dentistry receive its 1801059480 assignment?
The Ponce De Leon Family Dentistry was assigned its 1801059480 on 2008-07-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Ponce De Leon Family Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ponce De Leon Family Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-03.