| Seminole Dental | |
|
11179 Park Blvd Ste 13 Seminole FL 33772-4709 | |
| (727) 398-0085 | |
| (727) 397-1420 |
| Full Name | Seminole Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11179 Park Blvd Ste 13, Seminole, Florida |
| Authorized Official Name and Position | Greg A. Engelman (PRESIDENT) |
| Authorized Official Contact | 7273980085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seminole Dental 11179 Park Blvd Ste 13 Seminole FL 33772-4709 Ph: (727) 398-0085 | Seminole Dental 11179 Park Blvd Ste 13 Seminole FL 33772-4709 Ph: (727) 398-0085 |
| NPI Number | 1619144797 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619144797 | NPI | - | NPPES |
| 19 | Other | FL | SINGLE SPECIALTY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10482 (Florida) | Primary |
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