Organization
FLORIDA SEDATION, IMPLANT AND DENTAL SURGERY ASSOCIATES, LLC
Active
Parent organization
FLORIDA SEDATION, IMPLANT AND DENTAL SURGERY ASSOCIATES, LLC
Other names
Dental Specialists of North Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA SEDATION, IMPLANT AND DENTAL SURGERY ASSOCIATES, LLC
Authorized official
JOHN W THOUSAND IV D.D.S. (OWNER)
(904) 794-1000
Entity
Organization
Contact information
Practice address
10 SAINT JOHNS MEDICAL PARK DR STE C, SAINT AUGUSTINE, FL 32086-5202
(904) 794-1000
(904) 794-1004
Mailing address
10 SAINT JOHNS MEDICAL PARK DR STE C, SAINT AUGUSTINE, FL 32086-5202
(904) 794-1000
(904) 794-1004
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN21628
FL
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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