| Dental Excellence Of Englewood | |
|
2025 South Mccall Rd Englewood FL 34241 | |
| (941) 474-1245 | |
| (941) 475-2411 |
| Full Name | Dental Excellence Of Englewood |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2025 South Mccall Rd, Englewood, Florida |
| Authorized Official Name and Position | Alexei Mikerin (PRESIDENT) |
| Authorized Official Contact | 9412665217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Excellence Of Englewood 2025 South Mccall Rd Englewood FL 34241 Ph: (941) 474-1245 | Dental Excellence Of Englewood 2025 South Mccall Rd Englewood FL 34241 Ph: (941) 474-1245 |
| NPI Number | 1215164272 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215164272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 15210 (Florida) | Primary |
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