904 Implants and Dentures PLLC
904 Implants and Dentures PLLC is a Dental Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11645 Beach Blvd Ste 101Jacksonville, FL 32246-8496
Phone: (904) 999-9000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1700549136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Russell — Co-Owner · (803) 665-6998 |
| NPI enumerated | October 21, 2021 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
| Mailing address | 11645 Beach Blvd Ste 101, Jacksonville, FL 32246-8496 |
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