Bean Sprout Inc
Bean Sprout Inc is a Dental Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2008 Riverside Ave Ste 101Jacksonville, FL 32204-4443
Phone: (904) 372-3260
Fax: (904) 385-3704
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 · Licence 17658 (FL) |
|---|
Record details
| NPI number | 1942698204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jodi Mason — Pediatric Dentist · (904) 372-3260 |
| Other names | Bean Tree Pediatric Dentistry |
| NPI enumerated | January 8, 2015 |
| Last updated in NPPES | January 8, 2015 |
| Mailing address | 2008 Riverside Ave, Suite 101, Jacksonville, FL 32204-4443 |
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