Organization
STILL WATERS DENTISTRY PALM HARBOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMELYN GOODPASTER (DENTIST)
(317) 847-9782
Entity
Organization
Contact information
Practice address
31980 US 19 N, PALM HARBOR, FL 34684-3730
(727) 772-1120
Mailing address
31980 US 19 N, PALM HARBOR, FL 34684-3730
(727) 772-1120
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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