Lake George Dental | |
163 W 1st Ave Pierson FL 32180-2200 | |
(386) 202-3001 | |
(386) 202-3002 |
Full Name | Lake George Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 163 W 1st Ave, Pierson, Florida |
Authorized Official Name and Position | David Edward Turner (PRESIDENT) |
Authorized Official Contact | 3862023001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lake George Dental 163 W 1st Ave P.o. Box 960 Pierson FL 32180-2200 Ph: (386) 202-3001 | Lake George Dental 163 W 1st Ave Pierson FL 32180-2200 Ph: (386) 202-3001 |
NPI Number | 1588973093 |
---|---|
Provider Enumeration Date | 09/30/2010 |
Last Update Date | 09/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588973093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN14796 (Florida) | Primary |