Organization
DENTAL CENTER DEERWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK WAYNE PEPIS D.D.S. (OWNER DENTIST)
(904) 731-5200
Entity
Organization
Contact information
Practice address
7899 BAYMEADOWS WAY, SUITE #3, JACKSONVILLE, FL 32256-7572
(904) 731-5200
(904) 737-2427
Mailing address
7899 BAYMEADOWS WAY, SUITE #3, JACKSONVILLE, FL 32256-7572
(904) 731-5200
(904) 737-2427
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8595
STATE LICENSE NUMBER
FL
Enumeration date
02/05/2007
Last updated
08/22/2020
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