| Dunnellon Dentistry | |
|
11223 N Williams St Dunnellon FL 34432-8350 | |
| (352) 489-3922 | |
| Not Available |
| Full Name | Dunnellon Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11223 N Williams St, Dunnellon, Florida |
| Authorized Official Name and Position | John A Samarkos (OWNER) |
| Authorized Official Contact | 3524893922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dunnellon Dentistry 11223 N Williams St Dunnellon FL 34432-8350 Ph: (352) 489-3922 | Dunnellon Dentistry 11223 N Williams St Dunnellon FL 34432-8350 Ph: (352) 489-3922 |
| NPI Number | 1013299338 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013299338 | NPI | - | NPPES |
| 1669682266 | Other | FL | NPI 1 |
| 1467781112 | Other | FL | NPI 1 |
| 187170330 | Other | FL | NPI 1 |
| 1154630341 | Other | FL | NPI 1 |
| 2802037313 | Other | FL | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN12788 (Florida) | Primary |
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