| Front Street Family Dentistry | |
|
609 Front St Celebration FL 34747 | |
| (407) 566-1146 | |
| (407) 566-1715 |
| Full Name | Front Street Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 609 Front St, Celebration, Florida |
| Authorized Official Name and Position | Gary L Nelson (OWNER) |
| Authorized Official Contact | 4075661146 |
| 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 Ph: (407) 566-1146 | Front Street Family Dentistry 609 Front St Celebration FL 34747 Ph: (407) 566-1146 |
| NPI Number | 1548314123 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548314123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014410 (Florida) | Primary |
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