| Baldwin Dentistry Pa | |
|
135 Us Highway 27 S South Bay FL 33493-2213 | |
| (561) 996-0033 | |
| (561) 996-0044 |
| Full Name | Baldwin Dentistry Pa |
|---|---|
| Speciality | Dentist |
| Location | 135 Us Highway 27 S, South Bay, Florida |
| Authorized Official Name and Position | Anthony Baldwin (DENTIST) |
| Authorized Official Contact | 5619960033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldwin Dentistry Pa 135 Us Highway 27 S South Bay FL 33493-2213 Ph: (561) 996-0033 | Baldwin Dentistry Pa 135 Us Highway 27 S South Bay FL 33493-2213 Ph: (561) 996-0033 |
| NPI Number | 1427566223 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 01/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427566223 | NPI | - | NPPES |
| 018929800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21975 (Florida) | Primary |
| 261QD0000X | Clinic/center - Dental | DN21975 (Florida) | Secondary |
Heavenly Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 S Us Highway 27, South Bay, FL 33493 Phone: 561-996-0033 Fax: 561-996-0044 |