|
| |
|
1500 Price Creek Way North Port FL 34288 | |
| (941) 876-9070 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1500 Price Creek Way, North Port, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1500 Price Creek Way North Port FL 34288 Ph: (941) 876-9070 | 1500 Price Creek Way North Port FL 34288 Ph: (941) 876-9070 |
| NPI Number | 1700398864 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700398864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Celebrity Smiles Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13801 Tamiami Trl Ste B, North Port, FL 34287 Phone: 941-426-1134 Fax: 941-423-2396 | |
Shore Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 White Ibis Drive, North Port, FL 34287 Phone: 941-474-9548 | |
North Port Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13801 Tamiami Trl Ste B, North Port, FL 34287 Phone: 941-500-5812 | |
North Port Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14500 Tamiami Trl, North Port, FL 34287 Phone: 941-200-5812 |