Organization · Type 2 NPI

Florida Sedation, Implant and Dental Surgery Associates, LLC

Periodontics · St. Augustine, FL

NPI number 1932623733 Active

Practice location

10 Saint Johns Medical Park Dr Ste C
St. Augustine, FL 32086-5202

Fax (904) 794-1004

Specialties and licenses

Taxonomy	Code	License
Periodontics Primary	1223P0300X	DN21628 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3 other providers at this address

NPI record

NPI: 1932623733
Entity type: Organization (Type 2)
Issued: Aug 2, 2017
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Florida Sedation, Implant and Dental Surgery Associates, LLC

Other names

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Dental Specialists of North Florida · doing business as

Authorized official

John W Thousand, DDS
Owner
(904) 794-1000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932623733

Florida Sedation, Implant and Dental Surgery Associates, LLC's National Provider Identifier is 1932623733, issued on Aug 2, 2017. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 21, 2022.