Organization
S REEDER HENLEY ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE REEDER HENLEY DMD, MD (OWNER)
(352) 318-8660
Entity
Organization
Contact information
Practice address
4100 SOUTHPOINT DR E STE 5, JACKSONVILLE, FL 32216-8710
(904) 281-2225
Mailing address
4100 SOUTHPOINT DR E STE 5, JACKSONVILLE, FL 32216-8710
(904) 281-2225
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
06/21/2023
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