Ideal Dental - Jacksonville Beach | |
2218 3rd St S Jacksonville Beach FL 32250-4021 | |
(904) 441-0632 | |
(904) 747-4156 |
Full Name | Ideal Dental - Jacksonville Beach |
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Speciality | Dentist |
Location | 2218 3rd St S, Jacksonville Beach, Florida |
Authorized Official Name and Position | Matthew Doan (OWNER) |
Authorized Official Contact | 9723318079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ideal Dental - Jacksonville Beach Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental - Jacksonville Beach 2218 3rd St S Jacksonville Beach FL 32250-4021 Ph: (904) 441-0632 |
NPI Number | 1912679580 |
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Provider Enumeration Date | 10/01/2021 |
Last Update Date | 10/02/2023 |
Identifier | Type | State | Issuer |
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1912679580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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