| Eustis Family Dental Spa, Llc | |
|
600 N Eustis St Eustis FL 32726-2908 | |
| (352) 357-1212 | |
| Not Available |
| Full Name | Eustis Family Dental Spa, Llc |
|---|---|
| Speciality | Dentist |
| Location | 600 N Eustis St, Eustis, Florida |
| Authorized Official Name and Position | James Magee (DOCTOR) |
| Authorized Official Contact | 3523571212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eustis Family Dental Spa, Llc 600 N Eustis St Eustis FL 32726-2908 Ph: (352) 357-1212 | Eustis Family Dental Spa, Llc 600 N Eustis St Eustis FL 32726-2908 Ph: (352) 357-1212 |
| NPI Number | 1356917512 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Medicare PECOS PAC ID | 7012319346 |
|---|---|
| Medicare Enrollment ID | O20210709000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356917512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | James Iii Mcgee |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1043428782 PECOS PAC ID: 1456774769 Enrollment ID: I20200706000379 |
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