Organization
J GREG DENT M D & ASSOCIATES P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GREGORY DENT MD (MANAGING MEMBER)
(904) 819-4565
Entity
Organization
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-4565
(904) 819-4999
Mailing address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-4565
(904) 819-4999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME71168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267927200
—
FL
01
—
94842
BCBSF GRP
FL
Enumeration date
06/22/2006
Last updated
06/21/2013
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