| New Image Dentistry Bayside Lakes | |
|
3590 Bayside Lakes Blvd Se Ste 1 Palm Bay FL 32909-6866 | |
| (321) 984-0044 | |
| (321) 984-0707 |
| Full Name | New Image Dentistry Bayside Lakes |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3590 Bayside Lakes Blvd Se Ste 1, Palm Bay, Florida |
| Authorized Official Name and Position | Annette Marlow (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7246982119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dentistry Bayside Lakes 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2119 | New Image Dentistry Bayside Lakes 3590 Bayside Lakes Blvd Se Ste 1 Palm Bay FL 32909-6866 Ph: (321) 984-0044 |
| NPI Number | 1346729167 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346729167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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New Image Dentisty Of Palm Bay Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Bayside Lakes Blvd Se, Palm Bay, FL 32909 Phone: 321-984-0044 Fax: 321-984-0707 |