# ATLANTIC COAST PROSTHODONTICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477795482
- **Authorized official:** DR. JOHN A. WHITSITT (OWNER)
- **Authorized official phone:** (386) 239-7600

## Contact information

- **Practice address:** 1509 MASON AVE, DAYTONA BEACH, FL 32117-4548
- **Practice address phone:** (386) 239-7600
- **Practice address fax:** (386) 239-7088
- **Mailing address:** 1509 MASON AVE, DAYTONA BEACH, FL 32117-4548
- **Mailing address phone:** (386) 239-7600
- **Mailing address fax:** (386) 239-7088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 10669 | FL | Yes |

## Other

- **Enumeration date:** 04/06/2009
- **Last updated:** 04/06/2009