Organization · Type 2 NPI

Brandon Greenwalt DMD PLLC

General Practice Dentistry · Jacksonville, FL

NPI number 1154770733 Active

Practice location

12443 San Jose Blvd Ste 101
Jacksonville, FL 32223-8647

Mailing address

328 W Kari Ct
Jacksonville, FL 32259-3320

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN19737 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1154770733

Brandon Greenwalt DMD PLLC's National Provider Identifier is 1154770733, issued on Jun 6, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 6, 2016.