| Carillon Park Dental | |
|
900 Carillon Pkwy Ste 307 St Petersburg FL 33716-1120 | |
| (727) 561-0555 | |
| Not Available |
| Full Name | Carillon Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 Carillon Pkwy Ste 307, St Petersburg, Florida |
| Authorized Official Name and Position | Courtney Monteith (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carillon Park Dental 900 Carillon Pkwy Ste 307 St Petersburg FL 33716-1120 Ph: () - | Carillon Park Dental 900 Carillon Pkwy Ste 307 St Petersburg FL 33716-1120 Ph: (727) 561-0555 |
| NPI Number | 1124736590 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124736590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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