JACKSONVILLE DENTAL SPECIALISTS NPI 1568915387

NPI Information

JACKSONVILLE DENTAL SPECIALISTS is a prosthodontics dentist in Jacksonville, FL. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. JACKSONVILLE DENTAL SPECIALISTS NPI is 1568915387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11512 LAKE MEAD AVE
STE. 532
JACKSONVILLE, FL
ZIP 32256-680
Phone: (904) 460-4201
Fax: (904) 683-3914

The provider's authorized official is Lydia Cuevas .
The authorized official title is Practice Coordinator and has the following contact phone number (904) 683-4781.

The enumeration date for this NPI number is 7/28/2016 and was last updated on 7/28/2016.

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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