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Organization
SCHUMACHER DENTAL CENTER, PA
Active
Organization
SCHUMACHER DENTAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L SCHUMACHER DMD (CHIEF EXECUTIVE OFFICER)
(904) 388-3559
Entity
Organization
Contact information
Practice address
4201 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-2027
(904) 388-3559
(904) 389-8562
Mailing address
4201 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-2027
(904) 388-3559
(904) 389-8562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
DENTIST GENERAL PRACTICE
FL
Enumeration date
04/25/2007
Last updated
02/16/2015
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