| Beaches Dentistry And Wellness | |
|
324 3rd Ave N Jacksonville Beach FL 32250-5602 | |
| (904) 246-6714 | |
| Not Available |
| Full Name | Beaches Dentistry And Wellness |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 324 3rd Ave N, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Nodesh Bangalore Shyamsunder (PRESIDENT) |
| Authorized Official Contact | 9042466714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaches Dentistry And Wellness 324 3rd Ave N Jacksonville Beach FL 32250-5602 Ph: (904) 246-6714 | Beaches Dentistry And Wellness 324 3rd Ave N Jacksonville Beach FL 32250-5602 Ph: (904) 246-6714 |
| NPI Number | 1588172571 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588172571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN20907 (Florida) | Primary |
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