Woodling Oral Surgery Pllc | |
4220 Valley Ridge Blvd Ste 102 Ponte Vedra FL 32081-5172 | |
(502) 648-9915 | |
Not Available |
Full Name | Woodling Oral Surgery Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4220 Valley Ridge Blvd Ste 102, Ponte Vedra, Florida |
Authorized Official Name and Position | Tyler Woodling (MEMBER) |
Authorized Official Contact | 5026489915 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Woodling Oral Surgery Pllc 1422 Lakewood Rd Jacksonville FL 32207-5322 Ph: (502) 648-9915 | Woodling Oral Surgery Pllc 4220 Valley Ridge Blvd Ste 102 Ponte Vedra FL 32081-5172 Ph: (502) 648-9915 |
NPI Number | 1538884861 |
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Provider Enumeration Date | 10/10/2022 |
Last Update Date | 10/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538884861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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