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606 W Magnolia Street Leesburg FL 34748 | |
| (352) 787-4800 | |
| (352) 787-9091 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 606 W Magnolia Street, Leesburg, Florida |
| Authorized Official Name and Position | Jon David Mehr (DR & PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 3527874800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
606 W Magnolia Street Leesburg FL 34748 Ph: (352) 787-4800 | 606 W Magnolia Street Leesburg FL 34748 Ph: (352) 787-4800 |
| NPI Number | 1265500565 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265500565 | NPI | - | NPPES |
| 1364448 | Other | UNITED CONCORDIA | |
| 36839 | Other | BLUE CROSS BLUE SHIELD | |
| 749700 | Other | UNITED CONCORDIA | |
| 36838 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN0014763 (Florida) | Primary |
| 122300000X | Dentist | DN0014896 (Florida) | Secondary |
Dr Mark A Steele Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 W Dixie Ave, Dr Mark A Steele, Leesburg, FL 34748 Phone: 352-787-3789 | |
Comfortable Care Dental Health Professionals, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27417 Us Highway 27, Leesburg, FL 34748 Phone: 352-702-4760 | |
Ed Blanton, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Us Highway 441, Leesburg, FL 34748 Phone: 352-728-6600 Fax: 352-728-0585 | |