Organization · Type 2 NPI

Rivertown Dental PA

Dental Clinic/Center · St. Johns, FL

NPI number 1619693363 Active

Practice location

205 Rivertown Shops Dr Ste 104
St. Johns, FL 32259-7476

Mailing address

2801 Saint Johns Bluff Rd S
Jacksonville, FL 32246-3761

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1619693363

Rivertown Dental PA's National Provider Identifier is 1619693363, issued on Oct 14, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Johns, FL. The record was last updated on Oct 14, 2022.