| Elite Smiles | |
|
319 W Town Pl Ste 21 St Augustine FL 32092-3103 | |
| (904) 940-3933 | |
| Not Available |
| Full Name | Elite Smiles |
|---|---|
| Speciality | Dentist |
| Location | 319 W Town Pl Ste 21, St Augustine, Florida |
| Authorized Official Name and Position | Steven Ronald Freeman (DENTIST) |
| Authorized Official Contact | 9049403933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Smiles 319 W Town Pl Ste 21 St Augustine FL 32092-3103 Ph: (904) 940-3933 | Elite Smiles 319 W Town Pl Ste 21 St Augustine FL 32092-3103 Ph: (904) 940-3933 |
| NPI Number | 1982868634 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982868634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17155 (Florida) | Primary |
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