Dio Jax PA
NPI #1992687255 in Jacksonville, Florida
Provider Information
- NPI Number
- 1992687255
- Entity Type
- Organization
- Organization Name
- Dio Jax PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 25, 2025
- Last Updated
- Jul 25, 2025
Practice Location
- Address
- 501 RIVERSIDE AVE STE 104
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32202-4935
- Phone
- (561) 400-4179
Authorized Official
- Name
- DR. DANIEL NOORTHOEK, DMD MS
- Title
- OWNER
- Phone
- (561) 400-4179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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