Organization
NEIL K STEVENSON DMD, PLLC
Active
Other names
Stevenson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY HAND CRDH (OFFICE MANAGER)
(904) 268-4466
Entity
Organization
Contact information
Practice address
12078 SAN JOSE BLVD STE 1, JACKSONVILLE, FL 32223-8671
(904) 268-4466
(904) 268-5904
Mailing address
12078 SAN JOSE BLVD STE 1, JACKSONVILLE, FL 32223-8671
(904) 268-4466
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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