Organization
WILLIAM B. NIPPER, JR., D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B. NIPPER JR. D.M.D. (PRESIDENT)
(904) 269-4201
Entity
Organization
Contact information
Practice address
1414 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 32073-4591
(904) 269-4201
(904) 269-1163
Mailing address
1414 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 32073-4591
(904) 269-4201
(904) 269-1163
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN 6934
FL
Other
Enumeration date
08/20/2006
Last updated
08/12/2010
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