| Buckeye Dental, Inc. | |
|
3220 S Tamiami Trl Sarasota FL 34239-5102 | |
| (941) 366-3636 | |
| (941) 957-0624 |
| Full Name | Buckeye Dental, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3220 S Tamiami Trl, Sarasota, Florida |
| Authorized Official Name and Position | Sean Eric Matheny (PRESIDENT) |
| Authorized Official Contact | 9413663636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Dental, Inc. 3220 S Tamiami Trl Sarasota FL 34239-5102 Ph: (941) 366-3636 | Buckeye Dental, Inc. 3220 S Tamiami Trl Sarasota FL 34239-5102 Ph: (941) 366-3636 |
| NPI Number | 1770157398 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770157398 | NPI | - | NPPES |
| DN24599 | Other | FL | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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