| Jax Beaches Family Dentistry, Pa | |
|
802 3rd St Neptune Beach FL 32266-5018 | |
| (904) 247-0111 | |
| Not Available |
| Full Name | Jax Beaches Family Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 802 3rd St, Neptune Beach, Florida |
| Authorized Official Name and Position | Michelle Defelice Hucke (PRESIDENT/CEO) |
| Authorized Official Contact | 9045019178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jax Beaches Family Dentistry, Pa 802 3rd St Neptune Beach FL 32266-5018 Ph: (904) 247-0111 | Jax Beaches Family Dentistry, Pa 802 3rd St Neptune Beach FL 32266-5018 Ph: (904) 247-0111 |
| NPI Number | 1992114029 |
|---|---|
| Provider Enumeration Date | 08/02/2014 |
| Last Update Date | 08/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992114029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN16151 (Florida) | Primary |
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