FETNER AND HARTIGAN PERIODONTICS NPI 1053642264

NPI Information

FETNER AND HARTIGAN, PERIODONTICS is a periodontics dentist in Jacksonville, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. FETNER AND HARTIGAN, PERIODONTICS NPI is 1053642264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7043 SOUTHPOINT PKWY STE B
JACKSONVILLE, FL
ZIP 32216-742
Phone: (904) 296-8343
Fax: (904) 296-8663

The provider's authorized official is Alan E. Fetner .
The authorized official title is Doctor and has the following contact phone number (904) 296-8343.

The enumeration date for this NPI number is 1/28/2010 and was last updated on 7/16/2012.

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:

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