Organization
RIVERSIDE DENTAL OF DUNNELLON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A. NARDUCCI (PRESIDENT/CEO)
(904) 998-7000
Entity
Organization
Contact information
Practice address
11352 N WILLIAMS ST STE 505, DUNNELLON, FL 34432-8312
(352) 533-5030
(904) 998-7702
Mailing address
2801 SAINT JOHNS BLUFF RD S STE 201, JACKSONVILLE, FL 32246-3862
(904) 998-7000
(904) 998-7702
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/28/2021
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