| Primary Dental Group Llc | |
|
1845 Eastwest Pkwy Suite 3 & 4 Fleming Island FL 32003-6405 | |
| (904) 278-7308 | |
| (904) 264-0086 |
| Full Name | Primary Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 1845 Eastwest Pkwy, Fleming Island, Florida |
| Authorized Official Name and Position | Stephen Strout (OWNER) |
| Authorized Official Contact | 9048062037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Dental Group Llc 1845 Eastwest Pkwy Suite 3 & 4 Fleming Island FL 32003-6405 Ph: (904) 278-7308 | Primary Dental Group Llc 1845 Eastwest Pkwy Suite 3 & 4 Fleming Island FL 32003-6405 Ph: (904) 278-7308 |
| NPI Number | 1841657640 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841657640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15749 (Florida) | Primary |
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Coast Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Us Highway 17 Ste 4, Fleming Island, FL 32003 Phone: 904-215-7855 Fax: 904-215-7856 | |
Aiosa And Hoffman Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Business Center Dr Ste 2, Fleming Island, FL 32003 Phone: 904-215-0980 Fax: 904-215-0952 | |
Doctors Lake Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Eagle Harbor Pkwy, Fleming Island, FL 32003 Phone: 904-264-6700 Fax: 904-264-6855 | |
Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1851 Golden Eagle Way, Suite #36, Fleming Island, FL 32003 Phone: 904-215-7800 | |
Eagle Harbor Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Eagle Harbor Pkwy, Fleming Island, FL 32003 Phone: 904-269-6558 Fax: 904-278-9292 |