Charles Elwell Iii, D.m.d., P.a. | |
3307 Clark Rd Ste 104 Sarasota FL 34231-8419 | |
(941) 366-8882 | |
Not Available |
Full Name | Charles Elwell Iii, D.m.d., P.a. |
---|---|
Speciality | Clinic/center - Dental |
Location | 3307 Clark Rd Ste 104, Sarasota, Florida |
Authorized Official Name and Position | Charles W Elwell (OWNER/PRESIDENT) |
Authorized Official Contact | 9413668882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charles Elwell Iii, D.m.d., P.a. 3307 Clark Rd Ste 104 Sarasota FL 34231-8419 Ph: (941) 366-8882 | Charles Elwell Iii, D.m.d., P.a. 3307 Clark Rd Ste 104 Sarasota FL 34231-8419 Ph: (941) 366-8882 |
NPI Number | 1558140657 |
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Provider Enumeration Date | 09/27/2023 |
Last Update Date | 09/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558140657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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