Individual provider · Type 1 NPI

Robert Roy Thousand Jr., DDS

Periodontics · St. Augustine, FL

NPI number 1326264615 Active

Practice location

10 Saint Johns Medical Pk Dr, Suite A
St. Augustine, FL 32086-5201

Fax (904) 797-7739

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X7967 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1326264615

Robert Roy Thousand Jr., DDS's National Provider Identifier is 1326264615, issued on Apr 17, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.