Maria Al Chammas, DMD

Individual provider Active NPI General Practice Dentistry · Orange Park, FL

NPI 1992543961 · NPPES record last updated Jul 16, 2024

Key facts

NPI
1992543961
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN29400 (FL)
Practice address
1562 Wells Rd Ste 16
Orange Park, FL 32073-1723
Phone
(904) 644-0140
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN29400FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN29400 FL Yes

Addresses

Primary practice location

1562 Wells Rd Ste 16
Orange Park, FL 32073-1723

Mailing address

600 Technology Park Ste 101
Lake Mary, FL 32746-7122
Phone (407) 543-8514

Other providers in Orange Park, FL

All providers in Orange Park, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.