is a Periodontology Clinic in Palm Coast, Florida. This organization is also known as sub part of Florida Sedation, Implant And Dental Surgery Associates, Llc. It is located at 3 Cypress Branch Way Ste 107, Palm Coast, FL and its contact number is 386-986-1000. The authorized person for is John W Thousand Iv
who is Owner of the clinic and their contact number is 386-986-1000. The primary license number for is DN201628 (Periodontics) in Florida. Clinic is specialized in that branch 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.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Periodontology
Clinic Address:
3 Cypress Branch Way Ste 107, Palm Coast, Florida, 32164-8410
Phone:
386-986-1000
Fax:
386-446-1033
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:
John W Thousand Iv
Position:
Owner
Contact Number:
386-986-1000
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 clinic are as mentioned below.
NPI Number:
1104340991
Parent Organization:
Florida Sedation, Implant And Dental Surgery Associates, Llc
NPI Enumeration Date:
02 Aug, 2017
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Periodontics
DN201628
Florida
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3 Cypress Branch Way Ste 107, Palm Coast, Florida
Zip:
32164-8410
Phone Number:
386-986-1000
Fax Number:
386-446-1033
Patients can reach at 3 Cypress Branch Way Ste 107, Palm Coast, Florida or can call to book an appointment on 386-986-1000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.