| Family Dentistry Of Port Charlotte | |
|
2300 Tamiami Trl # 13&14 Port Charlotte FL 33952-3900 | |
| (941) 209-5353 | |
| (941) 866-6838 |
| Full Name | Family Dentistry Of Port Charlotte |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2300 Tamiami Trl # 13&14, Port Charlotte, Florida |
| Authorized Official Name and Position | Kevin J Krause (OWNER) |
| Authorized Official Contact | 8637739344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Port Charlotte 2300 Tamiami Trl # 13&14 Port Charlotte FL 33952-3900 Ph: (941) 209-5959 | Family Dentistry Of Port Charlotte 2300 Tamiami Trl # 13&14 Port Charlotte FL 33952-3900 Ph: (941) 209-5353 |
| NPI Number | 1497267942 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497267942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18310 (Florida) | Primary |
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