| Beachwalk Dental, Pa | |
|
855 County Road 210 West Suite A2 And A3 St. Augustine FL 32259 | |
| (904) 549-9045 | |
| Not Available |
| Full Name | Beachwalk Dental, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 855 County Road 210 West, St. Augustine, Florida |
| Authorized Official Name and Position | Jessica Narducci (GENERAL COUNSEL) |
| Authorized Official Contact | 9046266023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachwalk Dental, Pa 2801 Saint Johns Bluff Rd S Ste 101 Jacksonville FL 32246-3862 Ph: (904) 998-7000 | Beachwalk Dental, Pa 855 County Road 210 West Suite A2 And A3 St. Augustine FL 32259 Ph: (904) 549-9045 |
| NPI Number | 1518699826 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518699826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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