| Children And Teen Ortho Group Of Florida | |
|
5245 Us Highway 19 New Port Richey FL 34652-3967 | |
| (727) 847-3113 | |
| (727) 847-2904 |
| Full Name | Children And Teen Ortho Group Of Florida |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5245 Us Highway 19, New Port Richey, Florida |
| Authorized Official Name and Position | Brian Smith (CEO) |
| Authorized Official Contact | 7702315348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Teen Ortho Group Of Florida 2300 Lakeview Pkwy Alpharetta GA 30009-9082 Ph: (727) 784-2721 | Children And Teen Ortho Group Of Florida 5245 Us Highway 19 New Port Richey FL 34652-3967 Ph: (727) 847-3113 |
| NPI Number | 1609591171 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609591171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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