NPI 1639487168 · live from the CMS NPI Registry
A-1 Dental Care,INC.
Dentist, General Practice in Orange Park, FL. National Provider Identifier 1639487168, active.
NPI record
| NPI | 1639487168 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 168 Blanding Blvd, Suite 4, Orange Park, FL 32073 |
| Practice phone | 904-276-5143 |
| Mailing address | 584 Hunters Grove Ct, Orange Park, FL 32073 |
| Enumerated | September 17, 2010 |
| Last updated | September 17, 2010 |
| Authorized official | Rashmikant Patel, President, A-1 Dental Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN 10867 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.