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1200 Tamiami Trl N Nokomis FL 34275 | |
| (941) 244-5037 | |
| (941) 451-8165 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Tamiami Trl N, Nokomis, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1200 Tamiami Trl N Nokomis FL 34275-1515 Ph: (941) 244-4778 | 1200 Tamiami Trl N Nokomis FL 34275 Ph: (941) 244-5037 |
| NPI Number | 1093373128 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 08/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093373128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |