| Canoe Creek Family Dental | |
|
2301 Old Canoe Creek Rd St. Cloud FL 34772 | |
| (321) 926-4159 | |
| Not Available |
| Full Name | Canoe Creek Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2301 Old Canoe Creek Rd, St. Cloud, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canoe Creek Family Dental 2301 Old Canoe Creek Rd St. Cloud FL 34772 Ph: () - | Canoe Creek Family Dental 2301 Old Canoe Creek Rd St. Cloud FL 34772 Ph: (321) 926-4159 |
| NPI Number | 1720452436 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720452436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
East Lake Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 N. Narcoossee Rd, St. Cloud, FL 34771 Phone: 321-236-1393 | |
Murray Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Neptune Rd, St. Cloud, FL 34769 Phone: 407-957-5363 Fax: 407-957-4093 |