| Bay Raea Oral & Facial Surgery | |
|
5636 Grand Blvd New Port Richey FL 34652-3875 | |
| (727) 845-3282 | |
| (727) 937-9213 |
| Full Name | Bay Raea Oral & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5636 Grand Blvd, New Port Richey, Florida |
| Authorized Official Name and Position | Cary Wayne Stimson (PRESIDENT) |
| Authorized Official Contact | 7277381716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Raea Oral & Facial Surgery 5636 Grand Blvd New Port Richey FL 34652-3875 Ph: (727) 845-3282 | Bay Raea Oral & Facial Surgery 5636 Grand Blvd New Port Richey FL 34652-3875 Ph: (727) 845-3282 |
| NPI Number | 1205143419 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205143419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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