Suzanne M. Ebert, DMD, FAGD
General Practice Dentistry · Ponte Vedra Beach, FL
Practice location
151 Sawgrass Corners DrSuite 102
Ponte Vedra Beach, FL 32082-3553
- Phone
- (904) 543-0568
NPI record
- NPI
- 1104963826
- Entity type
- Individual (Type 1)
- Enumeration date
- January 31, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
14846 | FL |
About Dr. Ebert
Suzanne M. Ebert, DMD, FAGD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 151 Sawgrass Corners Dr, Suite 102, Ponte Vedra Beach, FL 32082-3553. The NPI number 1104963826 was assigned on January 31, 2007 and the record was last updated on July 8, 2007.
Dr. Ebert lists a license in the registry: #14846 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Suzanne M. Ebert, DMD, FAGD?
The NPI number is 1104963826.
What is the phone number of Dr. Ebert?
The phone number listed for the practice location is (904) 543-0568.
Where is Dr. Ebert located?
151 Sawgrass Corners Dr, Suite 102, Ponte Vedra Beach, FL 32082-3553.
What is the taxonomy code for Dr. Ebert?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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