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PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE LEM TRNR PLLC NPI 1669002762


NPI Information

NPI: 1669002762
Provider Name: PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE LEM TRNR, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9343 LEM TURNER RD
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 302-9520
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PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE LEM TRNR, PLLC 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. PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE LEM TRNR, PLLC NPI is 1669002762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9343 LEM TURNER RD
JACKSONVILLE, FL
ZIP 32208-274
Phone: (904) 302-9520

The provider's authorized official is Lauren Howard .
The authorized official title is Credentialing Specialist and has the following contact phone number (757) 576-5479.

The enumeration date for this NPI number is 1/17/2020 and was last updated on 1/17/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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