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NPI Code Detail

MEDICARE: DR. MICHAEL WAYNE STRATTON D.M.D.

MEDICARE:  DR. MICHAEL WAYNE STRATTON  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryDN10984FL

General Provider Information

NPI Number : 1346338076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WAYNE STRATTON D.M.D.
Provider Business Mailing Address
First Line : 3020 HARTLEY RD
Second Line : SUITE #210
City : JACKSONVILLE
State : FL
Zip : 32257-8206
Country : US
Telephone Number : 904-264-5437
Fax Number : 904-485-8417
Provider Business Practice Location Address
First Line : 1584 KINGSLEY AVENUE
Second Line : SUITE 1
City : ORANGE PARK
State : FL
Zip : 32073-4502
Country : US
Telephone Number : 904-264-5437
Fax Number : 904-485-8417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 09/02/2020

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Directions to “ DR. MICHAEL WAYNE STRATTON D.M.D.” Practice Location

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