South Village Dental, P.a. | |
339 Colony Blvd The Villages FL 32162-6084 | |
(904) 998-7000 | |
Not Available |
Full Name | South Village Dental, P.a. |
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Speciality | Clinic/center - Dental |
Location | 339 Colony Blvd, The Villages, Florida |
Authorized Official Name and Position | Amber Parks (SENIOR ACCOUNT SPECIALIST) |
Authorized Official Contact | 9049987000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Village Dental, P.a. 3545 Saint Johns Bluff Rd S # 352 Jacksonville FL 32224-2682 Ph: (904) 998-7000 | South Village Dental, P.a. 339 Colony Blvd The Villages FL 32162-6084 Ph: (904) 998-7000 |
NPI Number | 1760907711 |
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Provider Enumeration Date | 08/11/2017 |
Last Update Date | 08/11/2017 |
Identifier | Type | State | Issuer |
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1760907711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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