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Dr. John Willaim Thousand IV, DDS
Periodontist in Palm Coast, Florida
NPI 1972990752

John Willaim Thousand IV is a Periodontist based in St Augustine, FL and is specialized in Periodontics. John Willaim Thousand IV practices in Palm Coast, FL and has the professional credentials of DDS. The NPI Number for John Willaim Thousand IV is 1972990752 and holds a License No. 00201869 (Florida).

The current practice location address for John Willaim Thousand IV is 3 Cypress Branch Way, Palm Coast, FL and can be reached out via phone at 386-445-4247.

Location: 3 Cypress Branch Way, Palm Coast, FL, 32080-6182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972990752
Provider Name
John Willaim Thousand IV
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3 Cypress Branch Way, Palm Coast, FL, 32080-6182
Phone Number
386-445-4247
Fax Number
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 Cypress Branch Way
City
Palm Coast
State
Florida
Zip
32164-8409
Phone Number
386-445-4247
Fax Number
person
Provider Business Mailing Address Details
Address
3 Cypress Branch Way
City
Palm Coast
State
Florida
Zip
32164-8409
Phone Number
386-445-4247
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
00201869 (Colorado)
Definition
That specialty 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.
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