| Eagle Harbor Dental | |
|
1700 Eagle Harbor Pkwy Fleming Island FL 32003-8329 | |
| (904) 269-6558 | |
| (904) 278-9292 |
| Full Name | Eagle Harbor Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1700 Eagle Harbor Pkwy, Fleming Island, Florida |
| Authorized Official Name and Position | Kelly Theresa Standish-mayo (DENTIST / OWNER) |
| Authorized Official Contact | 9042696558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Harbor Dental 1700 Eagle Harbor Pkwy Fleming Island FL 32003-8329 Ph: (904) 269-6558 | Eagle Harbor Dental 1700 Eagle Harbor Pkwy Fleming Island FL 32003-8329 Ph: (904) 269-6558 |
| NPI Number | 1700627981 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700627981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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