Individual
DR. GREGORY W HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4181 SOUTHPOINT DR E, SUITE 200, JACKSONVILLE, FL 32216-0993
(904) 737-6733
Mailing address
24615 MARSH LANDING PKWY, PONTE VEDRA BEACH, FL 32082-2138
(904) 285-9799
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN10300
FL
Other
Enumeration date
01/18/2007
Last updated
07/12/2011
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