Organization
SAMUEL B. GASKINS IV DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL BELTON GASKINS IV DMD (PRESIDENT)
(904) 744-4522
Entity
Organization
Contact information
Practice address
943 CESERY BLVD, BUILDING B, JACKSONVILLE, FL 32211-5635
(904) 744-4522
(904) 744-2692
Mailing address
943 CESERY BLVD, BUILDING B, JACKSONVILLE, FL 32211-5635
(904) 744-4522
(904) 744-2692
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11982
FL
Other
Enumeration date
01/28/2007
Last updated
08/22/2020
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