Midtown Dental of Jacksonville
NPI #1487737441 in Jacksonville, Florida
Provider Information
- NPI Number
- 1487737441
- Entity Type
- Organization
- Organization Name
- Midtown Dental of Jacksonville
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 2801 SAINT JOHNS BLUFF RD S
- Address 2
- SUITE 1
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32246-3761
- Phone
- (904) 641-3777
Authorized Official
- Name
- CRYSTAL L LESS
- Title
- VP OF OPERATIONS
- Phone
- (904) 998-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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