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Madison Gatewood, DMD
Student in an Organized Health Care Education/Training Program in Jacksonville Beach, Florida
NPI 1477244804

Madison Gatewood is a Student in an Organized Health Care Education/Training Program based in Jacksonville Beach, FL. Madison Gatewood practices in Jacksonville Beach, FL and has the professional credentials of DMD. The NPI Number for Madison Gatewood is 1477244804 and holds a License No. DN28126 (Florida).

The current practice location address for Madison Gatewood is 2218 3Rd St S, Jacksonville Beach, FL and can be reached out via phone at 972-361-0600.

Location: 2218 3Rd St S, Jacksonville Beach, FL, 32250-2931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477244804
Provider Name
Madison Gatewood
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2218 3Rd St S, Jacksonville Beach, FL, 32250-2931
Phone Number
972-361-0600
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2218 3Rd St S
City
Jacksonville Beach
State
Florida
Zip
32250-4021
Phone Number
972-361-0600
Fax Number
person
Provider Business Mailing Address Details
Address
2218 3Rd St S
City
Jacksonville Beach
State
Florida
Zip
32250-4021
Phone Number
972-361-0600
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN28126 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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