| Kingswaydentalcare Inc. | |
|
2200 Kings Hwy # 3 - 1 Port Charlotte FL 33980-5759 | |
| (941) 624-3550 | |
| (941) 955-5270 |
| Full Name | Kingswaydentalcare Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 Kings Hwy, Port Charlotte, Florida |
| Authorized Official Name and Position | Andrew J. Martineau (DIRECTOR) |
| Authorized Official Contact | 9416243550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingswaydentalcare Inc. 943 S Beneva Rd Suite 310 Sarasota FL 34232-2476 Ph: (941) 957-3703 | Kingswaydentalcare Inc. 2200 Kings Hwy # 3 - 1 Port Charlotte FL 33980-5759 Ph: (941) 624-3550 |
| NPI Number | 1942334651 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942334651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12356 (Florida) | Primary |
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