Individual
DR. MICHAEL J. SEMIDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2301 PARK AVE STE 101, ORANGE PARK, FL 32073-5558
(904) 269-5195
(904) 269-7196
Mailing address
2301 PARK AVE STE 101, ORANGE PARK, FL 32073-5558
(904) 269-5195
(904) 269-7196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN19401
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN19401
FL
Other
Enumeration date
08/09/2011
Last updated
03/20/2024
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