| Ross H Fishman, Dmd, Ms, Pa | |
|
552 Jacksonville Dr Jacksonville Beach FL 32250-3813 | |
| (904) 247-4097 | |
| (904) 247-8495 |
| Full Name | Ross H Fishman, Dmd, Ms, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 552 Jacksonville Dr, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Ross Fishman (PRESIDENT) |
| Authorized Official Contact | 9044770282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross H Fishman, Dmd, Ms, Pa 552 Jacksonville Dr Jacksonville Beach FL 32250-3813 Ph: (904) 247-4097 | Ross H Fishman, Dmd, Ms, Pa 552 Jacksonville Dr Jacksonville Beach FL 32250-3813 Ph: (904) 247-4097 |
| NPI Number | 1740534361 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740534361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 16716 (Florida) | Primary |
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