| Coastal Jaw Surgery Of New Port Richey Pa | |
|
6731 Madison St New Port Richey FL 34652-1928 | |
| (727) 842-5180 | |
| (727) 846-0755 |
| Full Name | Coastal Jaw Surgery Of New Port Richey Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6731 Madison St, New Port Richey, Florida |
| Authorized Official Name and Position | Mark W Mitchell (PRESIDENT) |
| Authorized Official Contact | 7278425180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Jaw Surgery Of New Port Richey Pa 6731 Madison St New Port Richey FL 34652-1928 Ph: (727) 842-5180 | Coastal Jaw Surgery Of New Port Richey Pa 6731 Madison St New Port Richey FL 34652-1928 Ph: (727) 842-5180 |
| NPI Number | 1487839205 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 09/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487839205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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