| Palm Bay Dental Center | |
|
1764 Palm Bay Rd Ne Palm Bay FL 32905-2904 | |
| (321) 725-5512 | |
| Not Available |
| Full Name | Palm Bay Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1764 Palm Bay Rd Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Annette Marlow (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 3217255512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Bay Dental Center 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2132 | Palm Bay Dental Center 1764 Palm Bay Rd Ne Palm Bay FL 32905-2904 Ph: (321) 725-5512 |
| NPI Number | 1770062465 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770062465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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