| Myers Pediatric Dentistry Pa | |
|
3200 Old Jennings Rd Middleburg FL 32068-3414 | |
| (904) 505-2010 | |
| (904) 505-2011 |
| Full Name | Myers Pediatric Dentistry Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3200 Old Jennings Rd, Middleburg, Florida |
| Authorized Official Name and Position | Gary Myers (PRESIDENT) |
| Authorized Official Contact | 9045052010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myers Pediatric Dentistry Pa 3200 Old Jennings Rd Middleburg FL 32068-3414 Ph: (904) 505-2010 | Myers Pediatric Dentistry Pa 3200 Old Jennings Rd Middleburg FL 32068-3414 Ph: (904) 505-2010 |
| NPI Number | 1982619425 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982619425 | NPI | - | NPPES |
| 85410 | Other | BLUE CROSS BLUE SHIELD | |
| 1770740 | Other | FL | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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