| Dental Care At Trinity Lakes | |
|
12456 State Road 54 Odessa FL 33556-3477 | |
| (727) 312-5035 | |
| (727) 312-5029 |
| Full Name | Dental Care At Trinity Lakes |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12456 State Road 54, Odessa, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care At Trinity Lakes 12456 State Road 54 Odessa FL 33556-3477 Ph: (727) 312-5035 | Dental Care At Trinity Lakes 12456 State Road 54 Odessa FL 33556-3477 Ph: (727) 312-5035 |
| NPI Number | 1710427687 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710427687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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