Jacksonville Emergency Dental, P.a.

Organization Active NPI Dentist · Jacksonville, FL

NPI 1184874372 · NPPES record last updated Sep 24, 2008

Key facts

NPI
1184874372
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
DN16459 (FL)
Legal business name
JACKSONVILLE EMERGENCY DENTAL, P.A.
Practice address
1716 University Blvd S
Jacksonville, FL 32216-8929
Phone
(904) 224-0046
Fax
(904) 224-0699
NPI assigned
Sep 24, 2008
Organization subpart
No

Authorized official

Name
Dr. Michael James Thomasino, DMD NPI 1699924365
Title
President
Phone
(904) 224-0046

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1716 University Blvd S
Jacksonville, FL 32216
Phone (904) 224-0046

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X DN16459 FL Yes

Addresses

Primary practice location

1716 University Blvd S
Jacksonville, FL 32216-8929

Mailing address

1716 University Blvd S
Jacksonville, FL 32216-8929
Phone (904) 224-0046

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Dentist in Florida

Sources for this page

Verify at the official NPI Registry.