| The Dentist Place - Orange Park | |
|
1695 Wells Road Orange Park FL 32073 | |
| (904) 269-7004 | |
| (904) 269-9008 |
| Full Name | The Dentist Place - Orange Park |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1695 Wells Road, Orange Park, Florida |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist Place - Orange Park 1695 Wells Road Orange Park FL 32073 Ph: (904) 269-7004 | The Dentist Place - Orange Park 1695 Wells Road Orange Park FL 32073 Ph: (904) 269-7004 |
| NPI Number | 1679785315 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679785315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Smith Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Business Center Dr, Suite 2, Orange Park, FL 32003 Phone: 904-637-0028 Fax: 904-644-8230 | |
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