Individual provider · Type 1 NPI

Stephen Mario Vultaggio Jr., DDS

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1427736701 Active

Practice location

653 W 8th St
Jacksonville, FL 32209-6511

Call (904) 244-2000 Map

Fax (904) 244-6105

Other practice locations

  • 345 E 24th St, New York, NY 10010-4020 · (212) 998-9800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1427736701

Stephen Mario Vultaggio Jr., DDS's National Provider Identifier is 1427736701, issued on Jul 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 14, 2024.