| Periodontal Health Center, Pl | |
|
5522 Gulf Dr New Port Richey FL 34652-4022 | |
| (727) 847-1239 | |
| (727) 845-4595 |
| Full Name | Periodontal Health Center, Pl |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5522 Gulf Dr, New Port Richey, Florida |
| Authorized Official Name and Position | Jessica Stilley (PERIODONTIST) |
| Authorized Official Contact | 7278471239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Health Center, Pl 5522 Gulf Dr New Port Richey FL 34652-4022 Ph: (727) 847-1239 | Periodontal Health Center, Pl 5522 Gulf Dr New Port Richey FL 34652-4022 Ph: (727) 847-1239 |
| NPI Number | 1235440884 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235440884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN17194 (Florida) | Primary |
| 1223P0300X | Dentist - Periodontics | DN6888 (Florida) | Secondary |
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