| Jeffrey Ellenberg Dmd Pa | |
|
1430 Belcher Road South Clearwater FL 33764 | |
| (727) 531-7751 | |
| (727) 532-3006 |
| Full Name | Jeffrey Ellenberg Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 1430 Belcher Road South, Clearwater, Florida |
| Authorized Official Name and Position | Jeffrey Ellenberg (PRESIDENT DENTIST OWNER) |
| Authorized Official Contact | 7275317751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Ellenberg Dmd Pa 1430 Belcher Road South Clearwater FL 33764 Ph: (727) 531-7751 | Jeffrey Ellenberg Dmd Pa 1430 Belcher Road South Clearwater FL 33764 Ph: (727) 531-7751 |
| NPI Number | 1740389030 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740389030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN11742 (Florida) | Primary |
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