Nature Coast Endodontics | |
121 Griffin View Dr Lake Lake FL 32159 | |
(352) 259-3636 | |
(352) 259-2447 |
Full Name | Nature Coast Endodontics |
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Speciality | Dentist - Endodontics |
Location | 121 Griffin View Dr, Lake Lake, Florida |
Authorized Official Name and Position | John F Whitt (PRESIDENT) |
Authorized Official Contact | 3522593636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nature Coast Endodontics 121 Griffin View Dr Lake Lake FL 32159 Ph: (352) 259-3636 | Nature Coast Endodontics 121 Griffin View Dr Lake Lake FL 32159 Ph: (352) 259-3636 |
NPI Number | 1699880294 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699880294 | NPI | - | NPPES |
69973 | Other | FL | BCBS |
872808 | Other | FL | DELTA CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | DN0009355 (Florida) | Primary |