| Yulee Dental Pllc | |
|
463480 State Road 200 Yulee FL 32097-3370 | |
| (904) 468-5135 | |
| (407) 574-4651 |
| Full Name | Yulee Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 463480 State Road 200, Yulee, Florida |
| Authorized Official Name and Position | Peter Kelly (OWNER) |
| Authorized Official Contact | 4074326224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yulee Dental Pllc 463480 State Road 200 Yulee FL 32097-3370 Ph: (407) 432-6224 | Yulee Dental Pllc 463480 State Road 200 Yulee FL 32097-3370 Ph: (904) 468-5135 |
| NPI Number | 1316788359 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316788359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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