| Devito Orthodontics, Pa | |
|
2745 State Road 580 Suite 103 Clearwater FL 33761-3359 | |
| (727) 725-4744 | |
| (727) 725-1561 |
| Full Name | Devito Orthodontics, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2745 State Road 580, Clearwater, Florida |
| Authorized Official Name and Position | Michael J. Devito (PRES/VP/SEC/TREAS) |
| Authorized Official Contact | 7277254744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devito Orthodontics, Pa 2745 State Road 580 Suite 103 Clearwater FL 33761-3359 Ph: (727) 725-4744 | Devito Orthodontics, Pa 2745 State Road 580 Suite 103 Clearwater FL 33761-3359 Ph: (727) 725-4744 |
| NPI Number | 1528072006 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528072006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN10472 (Florida) | Primary |
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