Organization · Type 2 NPI
John W Faul, Dmd, PA
Dental Clinic/Center · Keystone Heights, FL
NPI number
1447469879
Active
Practice location
7435 State Road 21, Suite B
Keystone Heights, FL 32656-9301
Mailing address
140 SW Grove St
Keystone Heights, FL 32656-9526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN08155 (FL) |
Dental Clinic/Center: Definition to come...
About NPI 1447469879
John W Faul, Dmd, PA's National Provider Identifier is 1447469879, issued on May 22, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Keystone Heights, FL. The record was last updated on Dec 7, 2011.