| Capeside Dental | |
|
3265 Bayside Lakes Blvd Se Palm Bay FL 32909-6872 | |
| (321) 727-0011 | |
| (321) 727-0014 |
| Full Name | Capeside Dental |
|---|---|
| Speciality | Dentist |
| Location | 3265 Bayside Lakes Blvd Se, Palm Bay, Florida |
| Authorized Official Name and Position | Samuel Beresford Artley (OWNER/DOCTOR) |
| Authorized Official Contact | 3217270011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capeside Dental 3265 Bayside Lakes Blvd Se Palm Bay FL 32909-6872 Ph: (321) 727-0011 | Capeside Dental 3265 Bayside Lakes Blvd Se Palm Bay FL 32909-6872 Ph: (321) 727-0011 |
| NPI Number | 1669780284 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669780284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15346 (Florida) | Primary |
| 122300000X | Dentist | DN18108 (Florida) | Secondary |
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