| Obeck Comprehensive Dental | |
|
33 Davis Blvd Tampa FL 33606-3427 | |
| (813) 253-5379 | |
| (813) 254-1521 |
| Full Name | Obeck Comprehensive Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 33 Davis Blvd, Tampa, Florida |
| Authorized Official Name and Position | John Obeck (OWNER) |
| Authorized Official Contact | 8132535379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obeck Comprehensive Dental 33 Davis Blvd Tampa FL 33606-3427 Ph: (813) 253-5379 | Obeck Comprehensive Dental 33 Davis Blvd Tampa FL 33606-3427 Ph: (813) 253-5379 |
| NPI Number | 1588350615 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588350615 | NPI | - | NPPES |
| 1053938654 | Medicaid | FL | |
| 1316060635 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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