| Odessa Modern Dentistry, Pa | |
|
13484 Pine Gap Spur Odessa FL 33556-2542 | |
| (813) 279-6537 | |
| Not Available |
| Full Name | Odessa Modern Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 13484 Pine Gap Spur, Odessa, Florida |
| Authorized Official Name and Position | Nicholas Button (OWNER) |
| Authorized Official Contact | 8132796537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odessa Modern Dentistry, Pa Po Box 920050 Dallas TX 75392-0050 Ph: () - | Odessa Modern Dentistry, Pa 13484 Pine Gap Spur Odessa FL 33556-2542 Ph: (813) 279-6537 |
| NPI Number | 1770346496 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770346496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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