Healthcare Provider Details

I. General information

NPI: 1083397384
Provider Name (Legal Business Name): ERIC GRAHAM PRESSLER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/12/2023
Certification Date: 08/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 STATE ROAD 13 N STE 22
JACKSONVILLE FL
32259-2821
US

IV. Provider business mailing address

11927 BLUE SPRUCE CT
JACKSONVILLE FL
32223-2923
US

V. Phone/Fax

Practice location:
  • Phone: 904-209-6590
  • Fax:
Mailing address:
  • Phone: 215-495-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN28527
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: