| Dental Care At Loughman Crossing | |
|
202 Ronald Reagan Pkwy Davenport FL 33896-9606 | |
| (863) 240-0873 | |
| (863) 353-8819 |
| Full Name | Dental Care At Loughman Crossing |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 Ronald Reagan Pkwy, Davenport, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care At Loughman Crossing 202 Ronald Reagan Pkwy Davenport FL 33896-9606 Ph: (863) 240-0873 | Dental Care At Loughman Crossing 202 Ronald Reagan Pkwy Davenport FL 33896-9606 Ph: (863) 240-0873 |
| NPI Number | 1093349284 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093349284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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