Individual
DR. SCOTT ROBERTS SKLENICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
2511 SAINT JOHNS BLUFF RD S, SUITE 207, JACKSONVILLE, FL 32246-2346
(904) 724-5020
Mailing address
11481 OLD SAINT AUGUSTINE RD, SUITE 203, JACKSONVILLE, FL 32258-1473
(904) 737-6799
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN16852
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2007
Last updated
07/02/2015
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