Fire Creek Dental
NPI #1265402119 in Jacksonville, Florida
Provider Information
- NPI Number
- 1265402119
- Entity Type
- Organization
- Organization Name
- Fire Creek Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1510 WILLOW BRANCH AVE
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32205-8118
- Phone
- (904) 387-3535
Authorized Official
- Name
- BARBARA SHELLMAN
- Title
- MANAGER
- Phone
- (904) 387-3535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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