| Oceanside Endodontics Od St. Augustine | |
|
2510 U.s. 1 South Suite B St. Augustine FL 32086 | |
| (904) 217-7012 | |
| (904) 217-7924 |
| Full Name | Oceanside Endodontics Od St. Augustine |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2510 U.s. 1 South, St. Augustine, Florida |
| Authorized Official Name and Position | Emily Weldon Tyler (OWNER) |
| Authorized Official Contact | 9042177012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanside Endodontics Od St. Augustine 2510 U.s. 1 South Suite B St. Augustine FL 32086 Ph: (904) 217-7012 | Oceanside Endodontics Od St. Augustine 2510 U.s. 1 South Suite B St. Augustine FL 32086 Ph: (904) 217-7012 |
| NPI Number | 1548764707 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548764707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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