Individual provider · Type 1 NPI

Thomas Arch Pribisco, DDS

Pediatric Dentistry · Jacksonville, FL

NPI number 1639370216 Active

Practice location

10822 Saint Augustine Rd
Jacksonville, FL 32257-1154

Fax (904) 292-2028

Mailing address

10822 Old Saint Augustine Road
Jacksonville, FL 32257

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X7393 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1639370216

Thomas Arch Pribisco, DDS's National Provider Identifier is 1639370216, issued on May 30, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.