| Midway Dental Center Of Ft Pierce Llc | |
|
5054 S 25th St Ft Pierce FL 34981 | |
| (772) 464-4822 | |
| (772) 464-8656 |
| Full Name | Midway Dental Center Of Ft Pierce Llc |
|---|---|
| Speciality | Dentist |
| Location | 5054 S 25th St, Ft Pierce, Florida |
| Authorized Official Name and Position | James Lowell Strawn (PRESIDENT) |
| Authorized Official Contact | 7724644822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midway Dental Center Of Ft Pierce Llc 5054 S 25th St Ft Pierce FL 34981 Ph: (772) 464-4822 | Midway Dental Center Of Ft Pierce Llc 5054 S 25th St Ft Pierce FL 34981 Ph: (772) 464-4822 |
| NPI Number | 1992972442 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992972442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | FL006163 (Florida) | Primary |