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Organization
THALER AND TOWNSEND, P.A.
Active
Organization
THALER AND TOWNSEND, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE HAMPTON TOWNSEND III D.M.D. (PRESIDENT)
(352) 378-2233
Entity
Organization
Contact information
Practice address
3500 W UNIVERSITY AVE, GAINESVILLE, FL 32607-2405
(352) 378-2233
(352) 375-7507
Mailing address
3500 W UNIVERSITY AVE, GAINESVILLE, FL 32607-2405
(352) 378-2233
(352) 375-7507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99566
BLUE CROSS BLUESHIELD OF FLORIDA
FL
Enumeration date
05/19/2008
Last updated
05/19/2008
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