Provider Demographics
NPI:1689630758
Name:VARELLA, CLAUDIO H (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:H
Last Name:VARELLA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8810 GOODBYS EXECUTIVE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-4699
Mailing Address - Country:US
Mailing Address - Phone:904-739-2422
Mailing Address - Fax:
Practice Address - Street 1:8810 GOODBYS EXECUTIVE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-4699
Practice Address - Country:US
Practice Address - Phone:904-739-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN194901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics