The Village Dentist

NPI 1205132503 - Dentist - 1223G0001X

NPI Details
NPI 1205132503
Enumeration Date 02/03/2011
Last Updated 02/03/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MICHELE MICHELE
Position OFFICE MANAGER
Phone (904) 940-7990
Fax (904) 940-7991
Practice Location
425 W TOWN PL
SUITE 106
ST AUGUSTINE FL, 32092-3661, US
Phone (904) 940-7990
Fax (904) 940-7991
Business Location
425 W TOWN PL
SUITE 106
ST AUGUSTINE FL, 32092-3661, US
Phone (904) 940-7990
Fax (904) 940-7991
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN11714
Remove 1205132503 NPI Number
 

According to our database, The Village Dentist NPI is 1205132503, taxonomy code is 1223G0001X and license number is DN11714, license state is located at Florida. The Village Dentist physically located at 425 W Town Pl, St Augustine FL, 32092-3661. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1205132503 NPI number is provided on an as is basis without warranty of any kind. 1205132503 is maintained by the National Plan & Provider Enumeration System. The contents of The Village Dentist are for informational purposes only.