| Bay Center For Oral & Implant Surgery | |
|
168 14th St Sw Suite B Largo FL 33770-6103 | |
| (727) 585-5494 | |
| (727) 584-1820 |
| Full Name | Bay Center For Oral & Implant Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 168 14th St Sw, Largo, Florida |
| Authorized Official Name and Position | Jesse Jakubowski (OWNER) |
| Authorized Official Contact | 7275855494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Center For Oral & Implant Surgery 168 14th St Sw Suite B Largo FL 33770-6103 Ph: (727) 585-5494 | Bay Center For Oral & Implant Surgery 168 14th St Sw Suite B Largo FL 33770-6103 Ph: (727) 585-5494 |
| NPI Number | 1073784872 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073784872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11822 (Florida) | Primary |
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