Stephen Conrad Potter DDS

NPI 1013184522 - Dentist - 1223G0001X

NPI Details
NPI 1013184522
Gender Male
Enumeration Date 05/14/2008
Last Updated 05/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
463203 STATE ROAD 200
YULEE FL, 32097-3260, US
Phone (904) 225-0607
Fax (904) 225-0657
Business Location
PO BOX 970
YULEE FL, 32041-0970, US
Phone (904) 225-0607
Fax (904) 225-0657
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN9080
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According to our database, Dr. Stephen Conrad Potter DDS NPI is 1013184522, taxonomy code is 1223G0001X and license number is DN9080, license state is located at Florida. Stephen Conrad Potter DDS physically located at 463203 State Road 200, Yulee FL, 32097-3260. NPI Number Stephen Conrad Potter DDS has the Individual type.

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1013184522 NPI number is provided on an as is basis without warranty of any kind. 1013184522 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Conrad Potter DDS are for informational purposes only.