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NPI Code Detail

MEDICARE: DR. MICHAEL WAYNE DUKES DMD

MEDICARE:  DR. MICHAEL WAYNE DUKES  DMD
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
11223G0001XGeneral Practice Dentistry11252FL

General Provider Information

NPI Number : 1548354970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WAYNE DUKES DMD
Provider Business Mailing Address
First Line : 100 ROYAL PALMS DR.
Second Line :
City : ATLANTIC BEACH
State : FL
Zip : 32233-3921
Country : US
Telephone Number : 904-241-5342
Fax Number : 904-241-5966
Provider Business Practice Location Address
First Line : 100 ROYAL PALMS DR.
Second Line :
City : ATLANTIC BEACH
State : FL
Zip : 32233-3921
Country : US
Telephone Number : 904-241-5342
Fax Number : 904-241-5966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL WAYNE DUKES DMD” Practice Location

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