| Bayshore Dental Center | |
|
810 W Dr Martin Luther King Jr Blvd Ste 2900 Seffner FL 33584-4583 | |
| (813) 330-2006 | |
| (813) 438-4928 |
| Full Name | Bayshore Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 810 W Dr Martin Luther King Jr Blvd, Seffner, Florida |
| Authorized Official Name and Position | Omari Sheehy (CEO/PRESIDENT) |
| Authorized Official Contact | 8133302006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayshore Dental Center 810 W Dr Martin Luther King Jr Blvd Ste 2900 Seffner FL 33584-4583 Ph: (813) 330-2006 | Bayshore Dental Center 810 W Dr Martin Luther King Jr Blvd Ste 2900 Seffner FL 33584-4583 Ph: (813) 330-2006 |
| NPI Number | 1174072888 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174072888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 20388 (Florida) | Primary |
Seffner Mango Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 W Dr Martin Luther King Jr Blvd, Seffner, FL 33584 Phone: 813-689-9100 Fax: 813-653-4990 |