| Luce Tooth Pediatric Dentistry | |
|
8500 113th St Ste B Seminole FL 33772-4126 | |
| (727) 390-0037 | |
| Not Available |
| Full Name | Luce Tooth Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8500 113th St Ste B, Seminole, Florida |
| Authorized Official Name and Position | Amy Renee Luce (OWNER/DENTIST) |
| Authorized Official Contact | 7276567145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luce Tooth Pediatric Dentistry 4641 Short Leaf Ln Ne Saint Petersburg FL 33703-3147 Ph: (804) 519-7795 | Luce Tooth Pediatric Dentistry 8500 113th St Ste B Seminole FL 33772-4126 Ph: (727) 390-0037 |
| NPI Number | 1548989569 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548989569 | NPI | - | NPPES |
| DN18737 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| DN21100 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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