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Organization

DIO JAX PA

Active
Other names
EverySmile Jacksonville
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL NOORTHOEK DMD MS (OWNER)
(561) 400-4179
Entity
Organization

Contact information

Practice address
501 RIVERSIDE AVE STE 104, JACKSONVILLE, FL 32202-4935
(561) 400-4179
Mailing address
6401 CONGRESS AVE STE 150, BOCA RATON, FL 33487-2862
(561) 400-4179

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/25/2025
Last updated
07/25/2025
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