Thomas Arch Pribisco, D.D.S.

Pediatric Dentistry · Jacksonville, FL

Individual Active NPI

NPI number 1639370216

Practice location

10822 Saint Augustine Rd
Jacksonville, FL 32257-1154
Phone
(904) 292-2410
Fax
(904) 292-2028

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NPI record

NPI
1639370216
Entity type
Individual (Type 1)
Enumeration date
May 30, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 7393 FL

Mailing address

10822 Old Saint Augustine Road
Jacksonville, FL 32257
Phone
(904) 292-2410
Fax
(904) 292-2028

About Dr. Pribisco

Thomas Arch Pribisco, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 10822 Saint Augustine Rd, Jacksonville, FL 32257-1154. The NPI number 1639370216 was assigned on May 30, 2007 and the record was last updated on July 8, 2007.

Dr. Pribisco lists a license in the registry: #7393 (FL) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Arch Pribisco, D.D.S.?

The NPI number is 1639370216.

What is the phone number of Dr. Pribisco?

The phone number listed for the practice location is (904) 292-2410.

Where is Dr. Pribisco located?

10822 Saint Augustine Rd, Jacksonville, FL 32257-1154.

What is the taxonomy code for Dr. Pribisco?

The primary taxonomy code is 1223P0221X – Pediatric 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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