BETH E. KAILES DMD PA NPI 1386044790

NPI Information

BETH E. KAILES, DMD, PA is a pediatric dentistry dentist in Fleming Island, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BETH E. KAILES, DMD, PA NPI is 1386044790. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pediatric Dentistry.

The provider's business location address is:

1851 GOLDEN EAGLE WAY
SUITE #36
FLEMING ISLAND, FL
ZIP 32003-333
Phone: (904) 215-7800

The provider's authorized official is Beth Kailes .
The authorized official title is Owner and has the following contact phone number (904) 215-7800.

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.

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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