| Pinebrook Dental North | |
|
6222 Us Highway 301 N Ellenton FL 34222-3065 | |
| (941) 729-6636 | |
| Not Available |
| Full Name | Pinebrook Dental North |
|---|---|
| Speciality | Dentist |
| Location | 6222 Us Highway 301 N, Ellenton, Florida |
| Authorized Official Name and Position | Anne Bean (OFFICE MANAGER) |
| Authorized Official Contact | 9417950877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinebrook Dental North 6222 Us Highway 301 N Ellenton FL 34222-3065 Ph: (941) 729-6636 | Pinebrook Dental North 6222 Us Highway 301 N Ellenton FL 34222-3065 Ph: (941) 729-6636 |
| NPI Number | 1609181692 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609181692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10494 (Florida) | Primary |
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