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

PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC

Active Organization

PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC is a General Dentistry organization located in JACKSONVILLE, Florida. NPI 1578113254 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · JACKSONVILLE, FL

Registration Details

NPI Number
1578113254
Provider Type
Organization
NPI Issued
Sep 16, 2019 (6.9251443667618 yrs)
Last Updated
Sep 16, 2019

Practice Information

Address
9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL, 322575464
Browse FL providers · Browse ZIP 32257
Phone
9042013565
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.