Organization
AMERICAN DENTAL CARE OF JACKSONVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PEARSON DDS (PRESIDENT)
(904) 272-9440
Entity
Organization
Contact information
Practice address
38 BLANDING BLVD, SUITE A, ORANGE PARK, FL 32073-2228
(904) 272-9440
(904) 272-0720
Mailing address
38 BLANDING BLVD, A, ORANGE PARK, FL 32073-2228
(904) 272-9440
(904) 272-0720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6256
FL
Other
Enumeration date
05/25/2006
Last updated
05/12/2008
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