NPI 1003287814
South Jacksonville Dental PLLC
Practice location
- Address
- 8440 Blanding Blvd, Jacksonville, FL 32244
- Phone
- (904) 525-8041
- Fax
- (315) 410-5531
Authorised official
- Name
- Kim van Camp
- Title
- Provider Relations Specialist
- Phone
- (315) 454-6000
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003287814
- Entity type
- Organization
- NPI issued
- 20 Oct 2015
- Record last updated
- 20 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.