| The Center For Dental Wellness | |
|
1541 The Greens Way Jacksonville Beach FL 32250-2449 | |
| (904) 273-9999 | |
| (904) 273-9766 |
| Full Name | The Center For Dental Wellness |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1541 The Greens Way, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Robert S Soud (PRESIDENT) |
| Authorized Official Contact | 9042739999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Dental Wellness 1541 The Greens Way Jacksonville Beach FL 32250-2449 Ph: (904) 273-9999 | The Center For Dental Wellness 1541 The Greens Way Jacksonville Beach FL 32250-2449 Ph: (904) 273-9999 |
| NPI Number | 1194815357 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194815357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4171 (Florida) | Primary |
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