Jacksonville Tongue Tie Llc | |
196 Everest Ln Ste 1 Saint Johns FL 32259-4103 | |
(904) 584-9004 | |
Not Available |
Full Name | Jacksonville Tongue Tie Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 196 Everest Ln Ste 1, Saint Johns, Florida |
Authorized Official Name and Position | Stacey Veal (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9045849004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jacksonville Tongue Tie Llc 196 Everest Ln Ste 1 Saint Johns FL 32259-4103 Ph: (904) 584-9004 | Jacksonville Tongue Tie Llc 196 Everest Ln Ste 1 Saint Johns FL 32259-4103 Ph: (904) 584-9004 |
NPI Number | 1831858067 |
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Provider Enumeration Date | 12/15/2021 |
Last Update Date | 12/15/2021 |
Identifier | Type | State | Issuer |
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1831858067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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