| Crosswater Dental Care | |
|
685 Crosswater Parkway Suite A Ponte Vedra Beach FL 32081 | |
| (904) 686-1400 | |
| (904) 834-7608 |
| Full Name | Crosswater Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 685 Crosswater Parkway, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosswater Dental Care 685 Crosswater Pkwy Ste A Ponte Vedra FL 32081-0769 Ph: (904) 686-1400 | Crosswater Dental Care 685 Crosswater Parkway Suite A Ponte Vedra Beach FL 32081 Ph: (904) 686-1400 |
| NPI Number | 1366988743 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 05/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366988743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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