| Peden & Hoffman Orthodontics | |
|
1406 Kingsley Ave Ste B Orange Park FL 32073-4590 | |
| (904) 264-4519 | |
| (904) 264-4510 |
| Full Name | Peden & Hoffman Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1406 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Derek Hoffman (PRESIDENT) |
| Authorized Official Contact | 9042644519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peden & Hoffman Orthodontics 1406 Kingsley Ave Ste B Orange Park FL 32073-4590 Ph: (904) 264-4519 | Peden & Hoffman Orthodontics 1406 Kingsley Ave Ste B Orange Park FL 32073-4590 Ph: (904) 264-4519 |
| NPI Number | 1124402912 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124402912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20979 (Florida) | Primary |
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