| Jc Dental, Llc | |
|
390 Jefferson Ave Orange Park FL 32065-7717 | |
| (904) 272-1588 | |
| Not Available |
| Full Name | Jc Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 390 Jefferson Ave, Orange Park, Florida |
| Authorized Official Name and Position | Joshua Chupp (OWNER DENTIST) |
| Authorized Official Contact | 9042721588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Dental, Llc 390 Jefferson Ave Orange Park FL 32065-7717 Ph: (904) 272-1588 | Jc Dental, Llc 390 Jefferson Ave Orange Park FL 32065-7717 Ph: (904) 272-1588 |
| NPI Number | 1750006938 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750006938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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