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SURFSIDE DENTAL CENTER PA. NPI 1740614775


NPI Information

NPI: 1740614775
Provider Name: SURFSIDE DENTAL CENTER, PA.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
630-7 ATLANTIC BLVD.
NEPTUNE BEACH, FL
ZIP 32266
Phone: (904) 247-2626
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SURFSIDE DENTAL CENTER, PA. is a preferred provider organization in Neptune Beach, FL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. SURFSIDE DENTAL CENTER, PA. NPI is 1740614775. The provider is registered as an organization entity type.

The provider's business location address is:

630-7 ATLANTIC BLVD.
NEPTUNE BEACH, FL
ZIP 32266
Phone: (904) 247-2626
Fax: (904) 247-2291

The provider's authorized official is Crystal L Less .
The authorized official title is Vp Of Operations and has the following contact phone number (904) 998-7000.

The enumeration date for this NPI number is 8/27/2013 and was last updated on 1/23/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServiceDN15716FLORIDANo
2305R00000XPreferred Provider OrganizationDN15716FLORIDAYes

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: 5/5/2024

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