| Banana River Dental | |
|
214 E Eau Gallie Blvd Suite #e Indian Harbour Beach FL 32937-4874 | |
| (321) 777-6453 | |
| Not Available |
| Full Name | Banana River Dental |
|---|---|
| Speciality | Dentist |
| Location | 214 E Eau Gallie Blvd, Indian Harbour Beach, Florida |
| Authorized Official Name and Position | Ryan Collins (DENTIST) |
| Authorized Official Contact | 3215437829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banana River Dental 1115 Seminole Dr Indian Harbour Beach FL 32937-4120 Ph: (321) 543-7829 | Banana River Dental 214 E Eau Gallie Blvd Suite #e Indian Harbour Beach FL 32937-4874 Ph: (321) 777-6453 |
| NPI Number | 1336686161 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336686161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19069 (Florida) | Primary |
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