Coastal Jaw Surgery | |
6731 Madison St New Port Richey FL 34652 | |
(727) 842-5180 | |
(727) 846-0755 |
Full Name | Coastal Jaw Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6731 Madison St, New Port Richey, Florida |
Authorized Official Name and Position | Michael A. Pikos (PRESIDENT) |
Authorized Official Contact | 7277861631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Jaw Surgery 2711 Tampa Rd Palm Harbor FL 34684-3312 Ph: (727) 786-1631 | Coastal Jaw Surgery 6731 Madison St New Port Richey FL 34652 Ph: (727) 842-5180 |
NPI Number | 1497852842 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497852842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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