Organization
DR. JOHN D VERVILLE, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DENNIS VERVILLE (PRESIDENT)
(904) 284-9911
Entity
Organization
Contact information
Practice address
7055 HIGHWAY 17, FLEMING ISLAND, FL 32003-9317
(904) 284-9911
(904) 284-9915
Mailing address
7055 HIGHWAY 17, FLEMING ISLAND, FL 32003-9317
(904) 284-9911
(904) 284-9915
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DN12569
FL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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