| Mary R. Isaacs, D.m.d., P.a. | |
|
5965 Red Bug Lake Rd Suite 233 Winter Springs FL 32708-5080 | |
| (407) 696-5210 | |
| (407) 696-6488 |
| Full Name | Mary R. Isaacs, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5965 Red Bug Lake Rd, Winter Springs, Florida |
| Authorized Official Name and Position | Mary Rose Isaacs (PRESIDENT) |
| Authorized Official Contact | 4076965210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary R. Isaacs, D.m.d., P.a. 5965 Red Bug Lake Rd Suite 233 Winter Springs FL 32708-5080 Ph: (407) 696-5210 | Mary R. Isaacs, D.m.d., P.a. 5965 Red Bug Lake Rd Suite 233 Winter Springs FL 32708-5080 Ph: (407) 696-5210 |
| NPI Number | 1811092893 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811092893 | NPI | - | NPPES |
| 69975 | Other | BLUE CROSS/BLUE SHIELD | |
| 642592 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 13097 (Florida) | Primary |
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