| Front Street Family Dentistry | |
|
609 Front St Celebration FL 34747-4676 | |
| (407) 566-1146 | |
| (407) 460-8542 |
| Full Name | Front Street Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 609 Front St, Celebration, Florida |
| Authorized Official Name and Position | Pam Hardiek (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Street Family Dentistry 609 Front St Celebration FL 34747-4676 Ph: (407) 566-1146 | Front Street Family Dentistry 609 Front St Celebration FL 34747-4676 Ph: (407) 566-1146 |
| NPI Number | 1376821207 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376821207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Front Street Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Front St, Celebration, FL 34747 Phone: 407-566-1146 Fax: 407-566-1715 |