Beaches Orthodontics, P.a. | |
330 Aia North Suite 326 Ponte Vedra Beach FL 32082 | |
(904) 273-5570 | |
(904) 273-8518 |
Full Name | Beaches Orthodontics, P.a. |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 330 Aia North, Ponte Vedra Beach, Florida |
Authorized Official Name and Position | Kevin W. O'shaughnessy (PRESIDENT) |
Authorized Official Contact | 9042735570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beaches Orthodontics, P.a. 330 Aia North Suite 326 Ponte Vedra Beach FL 32082 Ph: (904) 273-5570 | Beaches Orthodontics, P.a. 330 Aia North Suite 326 Ponte Vedra Beach FL 32082 Ph: (904) 273-5570 |
NPI Number | 1922312354 |
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Provider Enumeration Date | 07/27/2010 |
Last Update Date | 07/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922312354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN16801 (Florida) | Primary |
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