Amando Dental Corporation in Jacksonville - Preferred Provider Organization
Amando Dental Corporation - NPI 1275739237
Amando Dental Corporation is a Preferred Provider Organization in Jacksonville, Florida. Amando Dental Corporation practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Amando Dental Corporation is 1275739237. The last update date is 2015-01-26.
Amando Dental Corporation's current location address is 3545-1 St. Johns Bluff Rd. S., Jacksonville, Florida. You can contact this provider via phone number 9049987000 and fax number 9049987702. The mailing address for Amando Dental Corporation is 3545-1 St. Johns Bluff Rd. S., Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Amando Dental Corporation |
|---|---|
| Address | 3545-1 St. Johns Bluff Rd. S., Jacksonville, Florida |
| Phone Number | 9049987000 |
| Fax Number | 9049987702 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF OPER |
|---|---|
| Authorized Official Name | Less L Crystal |
| Telephone Number | 9049987000 |
NPI Number Detail
| NPI Number | 1275739237 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2015-01-26 |
Provider Mailing Address Detail
| Address | 3545-1 St. Johns Bluff Rd. S. |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32224 |
| Phone Number | 9049987000 |
| Fax Number | 9049987702 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | DN15716 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique 10-digit identifier code assigned to Amando Dental Corporation by the Centers for Medicare & Medicaid Services?
The Amando Dental Corporation has been issued the NPI (National Provider Identifier) 1275739237 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Amando Dental Corporation's facilities are geographically located?
The facilities of Amando Dental Corporation are physically situated at the following location: 3545-1 St. Johns Bluff Rd. S., Jacksonville, FL, 32224.
What is the Amando Dental Corporation's area of specialization and corresponding taxonomy classification?
The Amando Dental Corporation's specialty field is Preferred Provider Organization, and it falls under the taxonomy code 305R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Amando Dental Corporation receive the assignment of its 1275739237 from the Centers for Medicare & Medicaid Services?
The Amando Dental Corporation was issued its 1275739237 by the Centers for Medicare & Medicaid Services on 2007-06-26.
When was the information pertaining to Amando Dental Corporation most recently updated or revised?
The details related to Amando Dental Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-26.