Pinellas Pediatric Dentistry | |
4020 Portsmouth Rd Largo FL 33771-3318 | |
(727) 335-2500 | |
Not Available |
Full Name | Pinellas Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 4020 Portsmouth Rd, Largo, Florida |
Authorized Official Name and Position | Nancy Montgomery-easley (OWNER/DENTIST) |
Authorized Official Contact | 8638086124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pinellas Pediatric Dentistry 14699 113th Ave Largo FL 33774-4309 Ph: (863) 808-6124 | Pinellas Pediatric Dentistry 4020 Portsmouth Rd Largo FL 33771-3318 Ph: (727) 335-2500 |
NPI Number | 1154102523 |
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Provider Enumeration Date | 10/11/2023 |
Last Update Date | 03/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154102523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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