| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3711 Us Hwy 301, Riverview, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3711 Us Hwy 301 Riverview FL 33578 Ph: () - | 3711 Us Hwy 301 Riverview FL 33578 Ph: (813) 518-8561 |
| NPI Number | 1457742272 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457742272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18222 (Florida) | Primary |
Jenny Edwards, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11246 Sullivan Street, Riverview, FL 33578 Phone: 813-545-9081 | |
Afdic Moffett P.a Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13136 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-677-3331 | |
Inspiration Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13122 Vail Ridge Dr, Riverview, FL 33579 Phone: 813-677-1200 Fax: 813-677-1228 | |
Shweta Kokate Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9094 Progress Blvd, Riverview, FL 33578 Phone: 813-358-1368 | |