Organization
WOODLING ORAL SURGERY PLLC
Active
Other names
Nocatee Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER WOODLING (MEMBER)
(502) 648-9915
Entity
Organization
Contact information
Practice address
4220 VALLEY RIDGE BLVD STE 102, PONTE VEDRA, FL 32081-5172
(502) 648-9915
Mailing address
1422 LAKEWOOD RD, JACKSONVILLE, FL 32207-5322
(502) 648-9915
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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