| Bayside Endodontics | |
|
9075- Seminole Blvd. Seminole FL 33772 | |
| (727) 576-3636 | |
| Not Available |
| Full Name | Bayside Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 9075- Seminole Blvd., Seminole, Florida |
| Authorized Official Name and Position | Brent Jarred Mayer (OWNER) |
| Authorized Official Contact | 7275763636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Endodontics 9075- Seminole Blvd. Seminole FL 33772 Ph: (727) 576-3636 | Bayside Endodontics 9075- Seminole Blvd. Seminole FL 33772 Ph: (727) 576-3636 |
| NPI Number | 1720778244 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720778244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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