| My Smile Dentistry | |
|
846 South Osprey Avenue Sarasota FL 34236 | |
| (941) 706-1505 | |
| (941) 554-8172 |
| Full Name | My Smile Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 846 South Osprey Avenue, Sarasota, Florida |
| Authorized Official Name and Position | John C. Richard (VP) |
| Authorized Official Contact | 9419282490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Smile Dentistry 846 South Osprey Avenue Sarasota FL 34236 Ph: (941) 706-1505 | My Smile Dentistry 846 South Osprey Avenue Sarasota FL 34236 Ph: (941) 706-1505 |
| NPI Number | 1730412701 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 09/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730412701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18201 (Florida) | Primary |
| 122300000X | Dentist | DN18531 (Florida) | Secondary |
| 122300000X | Dentist | DN17733 (Florida) | Secondary |
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