Mcdonnell Dental Care | |
1440 Reed Canal Rd Ste 101 Port Orange FL 32129-9460 | |
(386) 410-4943 | |
(386) 339-0321 |
Full Name | Mcdonnell Dental Care |
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Speciality | Clinic/center - Dental |
Location | 1440 Reed Canal Rd Ste 101, Port Orange, Florida |
Authorized Official Name and Position | Jenifer Hartmann (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 3864104943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcdonnell Dental Care 1440 Reed Canal Rd Ste 101 Port Orange FL 32129-9460 Ph: (386) 410-4943 | Mcdonnell Dental Care 1440 Reed Canal Rd Ste 101 Port Orange FL 32129-9460 Ph: (386) 410-4943 |
NPI Number | 1184406704 |
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Provider Enumeration Date | 10/18/2023 |
Last Update Date | 10/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184406704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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