Patriot Family Dental PA
NPI #1982571584 in Jacksonville, Florida
Provider Information
- NPI Number
- 1982571584
- Entity Type
- Organization
- Organization Name
- Patriot Family Dental PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 20, 2025
- Last Updated
- Oct 20, 2025
Practice Location
- Address
- 8823 GOODBYS EXECUTIVE DR
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32217-4605
- Phone
- (470) 336-2612
Authorized Official
- Name
- DR. KEVIN CHRISTOPHER WIMAN, DMD
- Title
- PRESIDENT
- Phone
- (470) 336-2612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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