Organization
DYER PALM LEAF DENTAL LLC
Active
Parent organization
DYER PALM LEAF DENTAL LLC
Other names
Emergency Dental of Jacksonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYER PALM LEAF DENTAL LLC
Authorized official
SHAYLA MOORE (HR ADMIN)
(402) 505-6843
Entity
Organization
Contact information
Practice address
9770 OLD BAYMEADOWS RD, JACKSONVILLE, FL 32256-7909
(402) 505-6843
Mailing address
9770 OLD BAYMEADOWS RD, JACKSONVILLE, FL 32256-7909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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