| Clearwhite Dental Pllc | |
|
1831 N Belcher Rd Suite F-3 Clearwater FL 33765-1449 | |
| (727) 791-8823 | |
| (727) 725-4534 |
| Full Name | Clearwhite Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1831 N Belcher Rd, Clearwater, Florida |
| Authorized Official Name and Position | Michael Bradley Jergins (OWNER/OPERATOR) |
| Authorized Official Contact | 7277918823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwhite Dental Pllc 1831 North Belcher Road Suite F-3 Clearwater FL 33765-1453 Ph: (727) 791-8823 | Clearwhite Dental Pllc 1831 N Belcher Rd Suite F-3 Clearwater FL 33765-1449 Ph: (727) 791-8823 |
| NPI Number | 1225458763 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225458763 | NPI | - | NPPES |
| DN15034 | Other | FL | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN15034 (Florida) | Primary |
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