| Sawgrass Complete Dentistry | |
|
5000 Sawgrass Village Cir Ste 23 Ponte Vedra FL 32082-5041 | |
| (904) 280-0070 | |
| Not Available |
| Full Name | Sawgrass Complete Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5000 Sawgrass Village Cir Ste 23, Ponte Vedra, Florida |
| Authorized Official Name and Position | Pam Hardiek (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sawgrass Complete Dentistry 5000 Sawgrass Village Cir Ste 23 Ponte Vedra FL 32082-5041 Ph: (904) 280-0070 | Sawgrass Complete Dentistry 5000 Sawgrass Village Cir Ste 23 Ponte Vedra FL 32082-5041 Ph: (904) 280-0070 |
| NPI Number | 1134498413 |
|---|---|
| Provider Enumeration Date | 12/15/2011 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134498413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Bryan Keith Blankenship Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Sawgrass Village Cir, Suite 23, Ponte Vedra, FL 32082 Phone: 904-280-0070 Fax: 904-280-0079 | |
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Ponte Vedra Complete Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Solana Rd Ste A, Ponte Vedra, FL 32082 Phone: 904-285-7711 |