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624 E Tarpon Ave Tarpon Springs FL 34689 | |
| (727) 944-3777 | |
| (727) 942-7407 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 624 E Tarpon Ave, Tarpon Springs, Florida |
| Authorized Official Name and Position | Rod K Dietz (PRESIDENT) |
| Authorized Official Contact | 7275126796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
624 E Tarpon Ave Tarpon Springs FL 34689 Ph: (727) 944-3777 | 624 E Tarpon Ave Tarpon Springs FL 34689 Ph: (727) 944-3777 |
| NPI Number | 1881872398 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881872398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 15132 (Florida) | Primary |
Smiles By Design Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 S Pinellas Ave, Ste 100, Tarpon Springs, FL 34689 Phone: 727-940-6808 Fax: 727-940-6669 | |
Coast Florida P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41324 Us Highway 19 N, Tarpon Springs, FL 34689 Phone: 727-942-4144 Fax: 727-943-0940 | |