Organization
ATLANTIC DENTAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A WHITSITT D.D.S. (OWNER)
(386) 239-7600
Entity
Organization
Contact information
Practice address
9 PINE CONE DR, SUITE 106A, PALM COAST, FL 32137-8686
(386) 931-1685
Mailing address
9 PINE CONE DR, SUITE 106A, PALM COAST, FL 32137-8686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10669
FL
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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