# ATLANTIC COAST PROSTHODONTICS INC

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

## Provider details

- **NPI number:** 1962750935
- **Authorized official:** DR. JOHN WHITSITT D.D.S. (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
- **Mailing address:** 1509 MASON AVE, DAYTONA BEACH, FL 32117-4548
- **Mailing address phone:** (386) 239-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DN 10669 | FL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 08/24/2012
- **Last updated:** 08/24/2012