Organization
BRIGHT SMILES PEDIATRIC DENTISTRY NASSAU LLC
Active
Parent organization
BRIGHT SMILES PEDIATRIC DENTISTRY NASSAU LLC
Other names
Bright Smiles Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT SMILES PEDIATRIC DENTISTRY NASSAU LLC
Authorized official
STACEY VEAL MHA (PRACTICE MANAGER)
(904) 584-9004
Entity
Organization
Contact information
Practice address
960135 GATEWAY BLVD, FERNANDINA BEACH, FL 32034-9120
(904) 584-9004
Mailing address
196 EVEREST LN STE 1, SAINT JOHNS, FL 32259-4103
(904) 584-9004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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