Organization · Type 2 NPI

Jacksonville Tongue Tie LLC

Pediatric Dentistry · St. Johns, FL

NPI number 1831858067 Active

Practice location

196 Everest Ln Ste 1
St. Johns, FL 32259-4103

Other practice locations

  • 463725 State Road 200 Ste 3, Yulee, FL 32097-8671 · (904) 849-2400

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

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 1831858067

Jacksonville Tongue Tie LLC's National Provider Identifier is 1831858067, issued on Dec 15, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Johns, FL. The record was last updated on Dec 15, 2021.