| Mcilwain Dental Specialists | |
|
4710 N Habana Ave Ste 203 Tampa FL 33614-7146 | |
| (813) 879-8097 | |
| (813) 875-8792 |
| Full Name | Mcilwain Dental Specialists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4710 N Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Leigh Ann Mcilwain (OWNER) |
| Authorized Official Contact | 8138798097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcilwain Dental Specialists 4710 N Habana Ave Ste 203 Tampa FL 33614-7146 Ph: (813) 879-8097 | Mcilwain Dental Specialists 4710 N Habana Ave Ste 203 Tampa FL 33614-7146 Ph: (813) 879-8097 |
| NPI Number | 1386648863 |
|---|---|
| Provider Enumeration Date | 06/13/2005 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386648863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14465 (Florida) | Primary |
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