| Dental Practice Group Of Florida | |
|
8586 Eden Isles Ln Merritt Island FL 32952-6800 | |
| (321) 412-3239 | |
| (321) 722-0994 |
| Full Name | Dental Practice Group Of Florida |
|---|---|
| Speciality | Dentist |
| Location | 8586 Eden Isles Ln, Merritt Island, Florida |
| Authorized Official Name and Position | Todd Edward Christie (MANAGING PARTNER) |
| Authorized Official Contact | 3214123239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Practice Group Of Florida 8586 Eden Isles Ln Merritt Island FL 32952-6800 Ph: (321) 412-3239 | Dental Practice Group Of Florida 8586 Eden Isles Ln Merritt Island FL 32952-6800 Ph: (321) 412-3239 |
| NPI Number | 1346554391 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346554391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14545 (Florida) | Primary |
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Frederick H. Waggener Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Parnell St, Merritt Island, FL 32953 Phone: 321-452-8190 Fax: 321-454-4822 | |
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