| Oldsmar Dentistry | |
|
4050 Tampa Rd Oldsmar FL 34677-3205 | |
| (813) 855-4269 | |
| (813) 855-4277 |
| Full Name | Oldsmar Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4050 Tampa Rd, Oldsmar, Florida |
| Authorized Official Name and Position | Lori Elizabeth Burchell (DOCTOR/OWNER) |
| Authorized Official Contact | 8138554269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oldsmar Dentistry 4050 Tampa Rd Oldsmar FL 34677-3205 Ph: (813) 855-4269 | Oldsmar Dentistry 4050 Tampa Rd Oldsmar FL 34677-3205 Ph: (813) 855-4269 |
| NPI Number | 1245772078 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 11/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245772078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18371 (Florida) | Primary |
| 122300000X | Dentist | DN8894 (Florida) | Secondary |
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