| Jacked Dmd, Pllc | |
|
2186 Harris Ave Ne Ste 3 Palm Bay FL 32905-4044 | |
| (321) 723-2620 | |
| Not Available |
| Full Name | Jacked Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2186 Harris Ave Ne Ste 3, Palm Bay, Florida |
| Authorized Official Name and Position | Marc Aaron Christy (OWNER DENTIST) |
| Authorized Official Contact | 8609859883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacked Dmd, Pllc 1534 Sumter Ln Melbourne FL 32904-8740 Ph: (860) 985-9883 | Jacked Dmd, Pllc 2186 Harris Ave Ne Ste 3 Palm Bay FL 32905-4044 Ph: (321) 723-2620 |
| NPI Number | 1558106682 |
|---|---|
| Provider Enumeration Date | 06/29/2024 |
| Last Update Date | 06/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558106682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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