| G. Gray Flynn, Dmd, Pa | |
|
2468 Blanding Blvd Suite 103 Middleburg FL 32068-5193 | |
| (904) 282-5025 | |
| Not Available |
| Full Name | G. Gray Flynn, Dmd, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2468 Blanding Blvd, Middleburg, Florida |
| Authorized Official Name and Position | G. Gray Flynn (PRESIDENT) |
| Authorized Official Contact | 9042825025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Gray Flynn, Dmd, Pa 2468 Blanding Blvd Suite 103 Middleburg FL 32068-5193 Ph: (904) 282-5025 | G. Gray Flynn, Dmd, Pa 2468 Blanding Blvd Suite 103 Middleburg FL 32068-5193 Ph: (904) 282-5025 |
| NPI Number | 1366593568 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366593568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 8514 (Florida) | Primary |
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