| Celebration Pediatric Dentistry, Pa | |
|
1530 Celebration Blvd Ste 411 Celebration FL 34747-5165 | |
| (407) 247-8219 | |
| (407) 566-4647 |
| Full Name | Celebration Pediatric Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1530 Celebration Blvd Ste 411, Celebration, Florida |
| Authorized Official Name and Position | Jonathan Gooch (PRESIDENT) |
| Authorized Official Contact | 4072478219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebration Pediatric Dentistry, Pa 1530 Celebration Blvd Ste 411 Celebration FL 34747-5165 Ph: (407) 247-8219 | Celebration Pediatric Dentistry, Pa 1530 Celebration Blvd Ste 411 Celebration FL 34747-5165 Ph: (407) 247-8219 |
| NPI Number | 1316759327 |
|---|---|
| Provider Enumeration Date | 01/25/2025 |
| Last Update Date | 01/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316759327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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