Provider Demographics
NPI:1477729531
Name:JX MARKETING
Entity Type:Organization
Organization Name:JX MARKETING
Other - Org Name:OCEANSIDE SOUTHCOAST DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-957-7689
Mailing Address - Street 1:4532 W KENNEDY BLVD
Mailing Address - Street 2:SUITE 165
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4532 W KENNEDY BLVD
Practice Address - Street 2:SUITE 165
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2042
Practice Address - Country:US
Practice Address - Phone:813-957-7689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty