| Advanced Periodontics & Implant Care, Llc | |
|
1950 Laurel Manor Drive #184 The Villages FL 32162 | |
| (352) 750-4075 | |
| (352) 750-8072 |
| Full Name | Advanced Periodontics & Implant Care, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1950 Laurel Manor Drive #184, The Villages, Florida |
| Authorized Official Name and Position | John Walter Bonner (PRESIDENT) |
| Authorized Official Contact | 3527504075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Periodontics & Implant Care, Llc 1950 Laurel Manor Drive #184 The Villages FL 32162 Ph: (352) 750-4075 | Advanced Periodontics & Implant Care, Llc 1950 Laurel Manor Drive #184 The Villages FL 32162 Ph: (352) 750-4075 |
| NPI Number | 1619591393 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 05/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619591393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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