JULINGTON CREEK FAMILY DENTISTRY PA NPI 1194831230

NPI Information

JULINGTON CREEK FAMILY DENTISTRY, PA is a general practice dentist in Jacksonville, 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. JULINGTON CREEK FAMILY DENTISTRY, PA NPI is 1194831230. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

465 STATE ROAD 13 STE 9
JACKSONVILLE, FL
ZIP 32259-858
Phone: (904) 230-2931
Fax: (904) 230-1627

The provider's authorized official is Susan Lynn Amatrudi .
The authorized official title is President and has the following contact phone number (904) 230-2961.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 8/22/2020.

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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