Jax Beaches Family Dentistry, PA
NPI #1992114029 in Neptune Beach, Florida
Provider Information
- NPI Number
- 1992114029
- Entity Type
- Organization
- Organization Name
- Jax Beaches Family Dentistry, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 2, 2014
- Last Updated
- Aug 2, 2014
Practice Location
- Address
- 802 3RD ST
- City
- Neptune Beach
- State
- Florida
- ZIP Code
- 32266-5018
- Phone
- (904) 247-0111
Authorized Official
- Name
- DR. MICHELLE DEFELICE HUCKE, DDS
- Title
- PRESIDENT/CEO
- Phone
- (904) 501-9178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
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|---|---|
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