| Aspen Dental | |
|
463859 State Road 200 Yulee FL 32097-3639 | |
| (315) 454-6000 | |
| (315) 438-4483 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 463859 State Road 200, Yulee, Florida |
| Authorized Official Name and Position | Mika Weiss (PROVIDER RELATIONS) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental 463859 State Road 200 Yulee FL 32097-3639 Ph: (315) 454-6000 | Aspen Dental 463859 State Road 200 Yulee FL 32097-3639 Ph: (315) 454-6000 |
| NPI Number | 1902201064 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902201064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19347 (Florida) | Primary |
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