| Imperial Lakes Dental Care | |
|
2110 Shepherd Rd Mulberry FL 33860-4602 | |
| (863) 226-5974 | |
| Not Available |
| Full Name | Imperial Lakes Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2110 Shepherd Rd, Mulberry, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Lakes Dental Care 2110 Shepherd Rd Mulberry FL 33860-4602 Ph: (863) 226-5974 | Imperial Lakes Dental Care 2110 Shepherd Rd Mulberry FL 33860-4602 Ph: (863) 226-5974 |
| NPI Number | 1861972176 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861972176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Central Florida Health Care, Inc. - Mulberry Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Nw 9th Ave, Mulberry, FL 33860 Phone: 863-425-6200 Fax: 863-425-6219 | |
Mulberry Dental Care Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Church Ave, Mulberry, FL 33860 Phone: 863-869-8888 Fax: 863-869-8880 |