Surfside Dental Specialist
NPI #1205251790 in Neptune Beach, Florida
Provider Information
- NPI Number
- 1205251790
- Entity Type
- Organization
- Organization Name
- Surfside Dental Specialist
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Feb 20, 2014
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 630 ATLANTIC BLVD
- Address 2
- SUITE 7
- City
- Neptune Beach
- State
- Florida
- ZIP Code
- 32266-4000
- Phone
- (904) 998-7000
Authorized Official
- Name
- CRYSTAL L LESS
- Title
- VP OF OPERATIONS
- Phone
- (904) 998-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
| Dentist - Periodontics — Periodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Endodontics — Endodontics |
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