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Contact Information

GARY R MANASSE, D.M.D., P.A.
8708 PERIMETER PARK BLVD.
#3
JACKSONVILLE, FL32216
 Phone: 904-646-1414
 Fax: 904-646-1454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for GARY R MANASSE · (Male)

NPI # 1023351152
Status Active
Credentials D.M.D., P.A.
Entity Individual
Enumeration date 03/27/2013
Last updated 03/29/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # DN13435
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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