| Indigo Dental Of Daytona Beach | |
|
139 Executive Cir Suite 101 Daytona Beach FL 32114-1198 | |
| (386) 253-3629 | |
| (386) 253-3620 |
| Full Name | Indigo Dental Of Daytona Beach |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 139 Executive Cir, Daytona Beach, Florida |
| Authorized Official Name and Position | David Robert Lloyd (PRESIDENT) |
| Authorized Official Contact | 3862533629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Dental Of Daytona Beach 139 Executive Cir Suite 101 Daytona Beach FL 32114-1198 Ph: (386) 253-3629 | Indigo Dental Of Daytona Beach 139 Executive Cir Suite 101 Daytona Beach FL 32114-1198 Ph: (386) 253-3629 |
| NPI Number | 1699861336 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699861336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0013454 (Florida) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
L & L Beach Street, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 South Beach Street, Daytona Beach, FL 32114 Phone: 386-253-3413 Fax: 386-253-6002 | |
Volusia Endodontics East, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 Pelican Bay Dr, Daytona Beach, FL 32119 Phone: 386-256-2512 | |
Sandeep V. Patel, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W. Isb, Daytona Beach, FL 32114 Phone: 386-258-7500 Fax: 386-238-5388 | |
Charles A Harrell, D.d.s., P.l. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 S Ridgewood Ave Ste C, Daytona Beach, FL 32114 Phone: 386-258-7500 Fax: 386-238-5388 | |
Sage Dental Of Daytona At Cornerstone, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 Cornerstone Blvd Ste 100, Daytona Beach, FL 32117 Phone: 470-990-8722 | |
Dynamic Lives Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 S Ridgewood Ave, Daytona Beach, FL 32114 Phone: 386-255-8866 | |
Anny B. Vera D.d.s., M.sc., P.a Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1667 N Clyde Morris Blvd # 1, Daytona Beach, FL 32117 Phone: 386-274-2021 Fax: 386-274-1743 |