Monticello Dentistry Pllc | |
1535 W Washington St Monticello FL 32344-1133 | |
(850) 997-2485 | |
(850) 997-3783 |
Full Name | Monticello Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 1535 W Washington St, Monticello, Florida |
Authorized Official Name and Position | Warren Joseph Thiry (PRESIDENT / DENTIST) |
Authorized Official Contact | 8509972485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Monticello Dentistry Pllc 1535 W Washington St Monticello FL 32344-1133 Ph: (850) 997-2485 | Monticello Dentistry Pllc 1535 W Washington St Monticello FL 32344-1133 Ph: (850) 997-2485 |
NPI Number | 1316431455 |
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Provider Enumeration Date | 06/21/2018 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
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1316431455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN18939 (Florida) | Primary |