| Oakport Dental Sanford Pllc | |
|
2421 S Maple Ave Sanford FL 32771-4269 | |
| (407) 323-5340 | |
| (407) 322-9136 |
| Full Name | Oakport Dental Sanford Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2421 S Maple Ave, Sanford, Florida |
| Authorized Official Name and Position | Wayne Bennett (SOLE MEMBER) |
| Authorized Official Contact | 4073235340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakport Dental Sanford Pllc 2421 S Maple Ave Sanford FL 32771-4269 Ph: (407) 323-5340 | Oakport Dental Sanford Pllc 2421 S Maple Ave Sanford FL 32771-4269 Ph: (407) 323-5340 |
| NPI Number | 1275928905 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275928905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
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