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13851 N Us Highway 441 Lady Lake FL 32159-8924 | |
| (850) 273-6000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13851 N Us Highway 441, Lady Lake, Florida |
| Authorized Official Name and Position | Allison Varner (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13851 N Us Highway 441 Lady Lake FL 32159-8924 Ph: (850) 273-6000 | 13851 N Us Highway 441 Lady Lake FL 32159-8924 Ph: (850) 273-6000 |
| NPI Number | 1699014944 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699014944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Lady Lake Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13915 N Us Highway 441, Lady Lake, FL 32159 Phone: 352-753-6365 Fax: 352-753-9865 | |