| Churchill Pediatric Dentistry Llc | |
|
1371 Sw 43rd Pl Ocala FL 34471-7501 | |
| (352) 274-9731 | |
| Not Available |
| Full Name | Churchill Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1371 Sw 43rd Pl, Ocala, Florida |
| Authorized Official Name and Position | Rebecca J Tarver (OWNER) |
| Authorized Official Contact | 3522749731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Churchill Pediatric Dentistry Llc 1371 Sw 43rd Pl Ocala FL 34471-7501 Ph: (352) 274-9731 | Churchill Pediatric Dentistry Llc 1371 Sw 43rd Pl Ocala FL 34471-7501 Ph: (352) 274-9731 |
| NPI Number | 1487081352 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487081352 | NPI | - | NPPES |
| 002880200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19038 (Florida) | Primary |
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