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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON GREENWALT DMD PLLC

Active Organization

BRANDON GREENWALT DMD PLLC is a General Dentistry organization located in JACKSONVILLE, Florida. NPI 1154770733 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · JACKSONVILLE, FL

Registration Details

NPI Number
1154770733
Provider Type
Organization
NPI Issued
Jun 6, 2016 (10.20194916788 yrs)
Last Updated
Jun 6, 2016
License
DN19737 (FL)

Practice Information

Address
12443 SAN JOSE BLVD STE 101
JACKSONVILLE, FL, 322238647
Browse FL providers · Browse ZIP 32223
Phone
9042626188
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in JACKSONVILLE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.