# CAVEN DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAVEN DENTAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831757756
- **Legal business name:** CAVEN DENTAL GROUP
- **Authorized official:** SUSAN CONNER (OFFICE MANAGER)
- **Authorized official phone:** (904) 626-5802

## Contact information

- **Practice address:** 8930 RG SKINNER PARKWAY, JACKSONVILLE, FL 32256
- **Practice address phone:** (904) 645-3366
- **Mailing address:** 8930 RG SKINNER PARKWAY, JACKSONVILLE, FL 32256
- **Mailing address phone:** (904) 645-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 06/05/2019