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Organization

PONTE VEDRA FAMILY DENTISTRY

Active
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Organization

PONTE VEDRA FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA EDWARD PERRY DMD (PRESIDENT)
(904) 280-1200
Entity
Organization

Contact information

Practice address
7000 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL 32082-5014
(904) 280-1200
Mailing address
7000 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL 32082-5014

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19732
FL
1223P0221X
Pediatric Dentistry
DN19731
FL
1223P0700X
Prosthodontics
DN19732
FL

Other

Enumeration date
04/03/2015
Last updated
06/22/2015
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