| Park Dental Of Ocala, Pa | |
|
3101 Sw 34th Ave Ste 600 Ocala FL 34474-8476 | |
| (352) 861-2510 | |
| (352) 861-2498 |
| Full Name | Park Dental Of Ocala, Pa |
|---|---|
| Speciality | Dentist |
| Location | 3101 Sw 34th Ave Ste 600, Ocala, Florida |
| Authorized Official Name and Position | Jennifer A Larson (CEO) |
| Authorized Official Contact | 3528612510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Of Ocala, Pa 3101 Sw 34th Ave Ste 600 Ocala FL 34474-8476 Ph: (352) 861-2510 | Park Dental Of Ocala, Pa 3101 Sw 34th Ave Ste 600 Ocala FL 34474-8476 Ph: (352) 861-2510 |
| NPI Number | 1447483920 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 08/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447483920 | NPI | - | NPPES |
| 1902005903 | Other | FL | INDIVIDUAL NPI FOR DR LARSON |
| 077927000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18061 (Florida) | Primary |
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