| Dr. Robert R. Thousand Iii P.a. | |
|
10 Saint Johns Medical Pk Dr Suite C St Augustine FL 32086-5202 | |
| (904) 797-3044 | |
| (904) 797-3045 |
| Full Name | Dr. Robert R. Thousand Iii P.a. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 10 Saint Johns Medical Pk Dr, St Augustine, Florida |
| Authorized Official Name and Position | Robert R Thousand (OWNER) |
| Authorized Official Contact | 9047973044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Robert R. Thousand Iii P.a. 10 Saint Johns Medical Pk Dr Suite C St Augustine FL 32086-5202 Ph: (904) 797-3044 | Dr. Robert R. Thousand Iii P.a. 10 Saint Johns Medical Pk Dr Suite C St Augustine FL 32086-5202 Ph: (904) 797-3044 |
| NPI Number | 1124265640 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 01/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124265640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN 14671 (Florida) | Primary |
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