| Ideal Dental Carrollwood Pllc | |
|
10917 N Dale Mabry Hwy Tampa FL 33618-4112 | |
| (813) 849-0004 | |
| (813) 706-3610 |
| Full Name | Ideal Dental Carrollwood Pllc |
|---|---|
| Speciality | Dentist |
| Location | 10917 N Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Carrollwood Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Carrollwood Pllc 10917 N Dale Mabry Hwy Tampa FL 33618-4112 Ph: (813) 849-0004 |
| NPI Number | 1528707841 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528707841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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