| Ideal Dental Odessa Pllc | |
|
13266 Pine Gap Spur Odessa FL 33556 | |
| (813) 359-0753 | |
| (813) 771-0218 |
| Full Name | Ideal Dental Odessa Pllc |
|---|---|
| Speciality | Dentist |
| Location | 13266 Pine Gap Spur, Odessa, 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 Odessa Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Odessa Pllc 13266 Pine Gap Spur Odessa FL 33556 Ph: (813) 359-0753 |
| NPI Number | 1548998370 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548998370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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