Pediatric Dentistry is a Pediatric Dental Clinic in Jacksonville, Florida. It is located at 8355 Bayberry Road, Jacksonville, FL and its contact number is 904-733-7254. The authorized person for Pediatric Dentistry is Barry P Setzer
who is Owner Co of the clinic and their contact number is 904-733-7254. The primary license number for Pediatric Dentistry is DN6138 (Pediatric Dentistry) in Florida. Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
8355 Bayberry Road, Jacksonville, Florida, 32256
Phone:
904-733-7254
Fax:
904-731-0144
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Barry P Setzer
Position:
Owner Co
Contact Number:
904-733-7254
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1558467498
NPI Enumeration Date:
16 Sep, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN6138
Florida
Primary
Pediatric Dentistry
DN12667
Florida
Secondary
Pediatric Dentistry
DN13682
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
74810
Other
Florida
Bcbs
00419295A
Medicaid
Georgia
0763373
Other
Florida
Medicaid
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Pediatric Dentistry at 8355 Bayberry Road, Jacksonville, Florida or can call to book an appointment on 904-733-7254. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.