| Bright Smiles Pediatric Dentistry Nassau Llc | |
|
960135 Gateway Blvd Fernandina Beach FL 32034-9120 | |
| (904) 584-9004 | |
| Not Available |
| Full Name | Bright Smiles Pediatric Dentistry Nassau Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 960135 Gateway Blvd, Fernandina Beach, Florida |
| Authorized Official Name and Position | Stacey Veal (PRACTICE MANAGER) |
| Authorized Official Contact | 9045849004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smiles Pediatric Dentistry Nassau Llc 196 Everest Ln Ste 1 Saint Johns FL 32259-4103 Ph: (904) 584-9004 | Bright Smiles Pediatric Dentistry Nassau Llc 960135 Gateway Blvd Fernandina Beach FL 32034-9120 Ph: (904) 584-9004 |
| NPI Number | 1710595509 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710595509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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