| Professional Dental Alliance Of Clearwater, Pllc | |
|
2685 Ulmerton Rd Ste 103 Clearwater FL 33762-3332 | |
| (727) 572-4063 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Clearwater, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2685 Ulmerton Rd Ste 103, Clearwater, Florida |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Clearwater, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Clearwater, Pllc 2685 Ulmerton Rd Ste 103 Clearwater FL 33762-3332 Ph: (727) 572-4063 |
| NPI Number | 1447723804 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447723804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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