Organization · Type 2 NPI

Islands Edge Dental, LLC

Dental Clinic/Center · St. Augustine, FL

NPI number 1861162141 Active

Practice location

1301 Plantation Island Dr S Ste 104B
St. Augustine, FL 32080-3110

Call (904) 461-5566 Map

Fax (904) 461-0084

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1861162141

Islands Edge Dental, LLC's National Provider Identifier is 1861162141, issued on Sep 17, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 17, 2021.