| 30a Smiles Llc | |
|
12805 Us Highway 98 E Suite K 201 Inlet Beach FL 32413-9630 | |
| (850) 231-0070 | |
| Not Available |
| Full Name | 30a Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12805 Us Highway 98 E, Inlet Beach, Florida |
| Authorized Official Name and Position | Kim Fleitz (CSO) |
| Authorized Official Contact | 8502310070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 30a Smiles Llc 12805 Us Highway 98 E Suite K 201 Inlet Beach FL 32413-9630 Ph: (850) 231-0070 | 30a Smiles Llc 12805 Us Highway 98 E Suite K 201 Inlet Beach FL 32413-9630 Ph: (850) 231-0070 |
| NPI Number | 1649648502 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649648502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15148 (Florida) | Primary |
Legacy Dental Studio, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Origins Main Street, Suite 200, Inlet Beach, FL 32461 Phone: 850-818-9006 |