| Park Avenue Dental | |
|
912 Nw 56th Ter Ste B Gainesville FL 32605-6404 | |
| (352) 331-7573 | |
| Not Available |
| Full Name | Park Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 912 Nw 56th Ter Ste B, Gainesville, Florida |
| Authorized Official Name and Position | Shane Nelis Goslinga (OWNER) |
| Authorized Official Contact | 3523317573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Dental 912 Nw 56th Ter Ste B Gainesville FL 32605-6404 Ph: (352) 331-7573 | Park Avenue Dental 912 Nw 56th Ter Ste B Gainesville FL 32605-6404 Ph: (352) 331-7573 |
| NPI Number | 1033373022 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 07/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033373022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17071 (Florida) | Primary |
Jeff R Matilsky Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Nw 8th Ave, Suite A, Gainesville, FL 32601 Phone: 352-376-4637 Fax: 352-373-2268 | |
Charles E Graper Md Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 Nw 57th St, Gainesville, FL 32605 Phone: 352-331-6661 Fax: 352-331-6336 | |
Minsung Son Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6921 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-7788 | |
Justin C. Craighead Dmd, Ms, Pl Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3720 Nw 43rd St Ste 102, Gainesville, FL 32606 Phone: 352-263-9579 | |
College Of Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 Center Dr, Gainesville, FL 32610 Phone: 352-273-5785 | |
Samant Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4404 N.w, 36th Ave, Gainesville, FL 32606 Phone: 352-376-5120 Fax: 352-373-6256 |