DR. STEPHEN CONRAD POTTER DDS NPI 1013184522

NPI Information

NPI: 1013184522
Provider Name: DR. STEPHEN CONRAD POTTER, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
463203 STATE ROAD 200
YULEE, FL
ZIP 32097
Phone: (904) 225-0607
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DR. Stephen Conrad Potter, DDS is a general practice dentist in Yulee, FL. The provider is 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. DR. Stephen Conrad Potter, DDS NPI is 1013184522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

463203 STATE ROAD 200
YULEE, FL
ZIP 32097-260
Phone: (904) 225-0607
Fax: (904) 225-0657

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DN9080	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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