| Economy Dentistry For Children - Dupont Station, Llc | |
|
1319 E Osceola Pkwy Ste C Kissimmee FL 34744-1606 | |
| (904) 683-1769 | |
| (904) 900-1243 |
| Full Name | Economy Dentistry For Children - Dupont Station, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1319 E Osceola Pkwy Ste C, Kissimmee, Florida |
| Authorized Official Name and Position | Leroy R. Polite (PRESIDENT) |
| Authorized Official Contact | 9046831769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Economy Dentistry For Children - Dupont Station, Llc 3615 Dupont Ave Ste 200-400 Jacksonville FL 32217-2790 Ph: (904) 683-1769 | Economy Dentistry For Children - Dupont Station, Llc 1319 E Osceola Pkwy Ste C Kissimmee FL 34744-1606 Ph: (904) 683-1769 |
| NPI Number | 1790246411 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790246411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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