John W Faul, Dmd, Pa | |
7435 State Road 21 Suite B Keystone Heights FL 32656-9301 | |
(352) 473-8988 | |
Not Available |
Full Name | John W Faul, Dmd, Pa |
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Speciality | Clinic/center - Dental |
Location | 7435 State Road 21, Keystone Heights, Florida |
Authorized Official Name and Position | John W Faul (PRESIDENT) |
Authorized Official Contact | 3216267725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John W Faul, Dmd, Pa 140 Sw Grove St Keystone Heights FL 32656-9526 Ph: (321) 626-7725 | John W Faul, Dmd, Pa 7435 State Road 21 Suite B Keystone Heights FL 32656-9301 Ph: (352) 473-8988 |
NPI Number | 1447469879 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 12/07/2011 |
Identifier | Type | State | Issuer |
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1447469879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN08155 (Florida) | Primary |