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Dr. Gary R Myers, DMD
Pediatric Dentist in Middleburg, Florida
NPI 1639186182

Gary R Myers is a Pediatric Dentist based in Middleburg, FL and is specialized in Pediatric Dentistry. Gary R Myers practices in Middleburg, FL and has the professional credentials of DMD. The NPI Number for Gary R Myers is 1639186182 and holds a License No. DN14903 (Florida).

The current practice location address for Gary R Myers is 3200 Old Jennings Road, Middleburg, FL and can be reached out via phone at 904-505-2010 and via fax at 904-505-2011.

Location: 3200 Old Jennings Road, Middleburg, FL, 32068-3414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639186182
Provider Name
Gary R Myers
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3200 Old Jennings Road, Middleburg, FL, 32068-3414
Phone Number
904-505-2010
Fax Number
904-505-2011
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1768502 01 FL UNITED CONCORDIA
85410 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3200 Old Jennings Road
City
Middleburg
State
Florida
Zip
32068-3414
Phone Number
904-505-2010
Fax Number
904-505-2011
person
Provider Business Mailing Address Details
Address
3200 Old Jennings Road
City
Middleburg
State
Florida
Zip
32068-3414
Phone Number
904-505-2010
Fax Number
904-505-2011
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN14903 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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