| Genesis Dental Clinic | |
|
247 Tamiami Trl S Nokomis FL 34275-3136 | |
| (941) 486-8500 | |
| (941) 412-9400 |
| Full Name | Genesis Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 247 Tamiami Trl S, Nokomis, Florida |
| Authorized Official Name and Position | James Mccloud (PRESIDENT/CEO) |
| Authorized Official Contact | 9413631852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental Clinic 3333 N Washington Blvd Suite 3 Sarasota FL 34234-6221 Ph: () - | Genesis Dental Clinic 247 Tamiami Trl S Nokomis FL 34275-3136 Ph: (941) 486-8500 |
| NPI Number | 1619278298 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619278298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 4922 (Florida) | Primary |
Nokomis Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Tamiami Trl N, Nokomis, FL 34275 Phone: 941-244-5037 Fax: 941-451-8165 |