Organization · Type 2 NPI

Samuel B. Gaskins IV DMD PA

Dental Clinic/Center · Jacksonville, FL

NPI number 1598811754 Active

Practice location

943 Cesery Blvd, Building B
Jacksonville, FL 32211-5635

Call (904) 744-4522 Map

Fax (904) 744-2692

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X11982 (FL)

Dental Clinic/Center: Definition to come...

17 other providers at this address

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About NPI 1598811754

Samuel B. Gaskins IV DMD PA's National Provider Identifier is 1598811754, issued on Jan 28, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 22, 2020.