| Lifetime Dentistry Of Bradenton | |
|
10708 Sr 64 Bradenton FL 34212-9664 | |
| (941) 254-7917 | |
| (941) 254-7921 |
| Full Name | Lifetime Dentistry Of Bradenton |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10708 Sr 64, Bradenton, Florida |
| Authorized Official Name and Position | Pam Hardiek (CREDENTIALING/INSURANCE) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dentistry Of Bradenton 10708 Sr 64 Bradenton FL 34212-9664 Ph: (941) 254-7917 | Lifetime Dentistry Of Bradenton 10708 Sr 64 Bradenton FL 34212-9664 Ph: (941) 254-7917 |
| NPI Number | 1033463013 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 12/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033463013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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