A. Tina Chandra, D.d.s., P.a. | |
1920 Sw 20th Pl Suite 202 Ocala FL 34471-7881 | |
(352) 861-1500 | |
(352) 861-1507 |
Full Name | A. Tina Chandra, D.d.s., P.a. |
---|---|
Speciality | Dentist |
Location | 1920 Sw 20th Pl, Ocala, Florida |
Authorized Official Name and Position | Renee M Custer (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 3528611500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
A. Tina Chandra, D.d.s., P.a. 1920 Sw 20th Pl Suite 202 Ocala FL 34471-7881 Ph: (352) 861-1500 | A. Tina Chandra, D.d.s., P.a. 1920 Sw 20th Pl Suite 202 Ocala FL 34471-7881 Ph: (352) 861-1500 |
NPI Number | 1841617438 |
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Provider Enumeration Date | 03/21/2014 |
Last Update Date | 10/24/2018 |
Medicare PECOS PAC ID | 8628393063 |
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Medicare Enrollment ID | O20150206000948 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841617438 | NPI | - | NPPES |
1174669485 | Other | FL | NATIONAL PROVIDER IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN14503 (Florida) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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