National Provider Identifier Database

MIDTOWN DENTAL OF JACKSONVILLE
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MIDTOWN DENTAL OF JACKSONVILLE
2801 SAINT JOHNS BLUFF RD S
SUITE 1
JACKSONVILLE, FL32246-3761
Phone: 904-641-3777
Fax: 904-641-2146
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MIDTOWN DENTAL OF JACKSONVILLE

NPI Number 1487737441
Legal business name
LBN
MIDTOWN DENTAL OF JACKSONVILLE
Authorized official CRYSTAL LESS - (VP OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 10/23/2006
Last updated 01/26/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for MIDTOWN DENTAL OF JACKSONVILLE

There are currently no reviews for MIDTOWN DENTAL OF JACKSONVILLE


NPIdb - Home
v2.201