| Senior Dental Care | |
|
16700 Se Pear St Blountstown FL 32424-2177 | |
| (850) 398-4425 | |
| Not Available |
| Full Name | Senior Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16700 Se Pear St, Blountstown, Florida |
| Authorized Official Name and Position | Cassi Layne (PRESIDENT) |
| Authorized Official Contact | 8503984425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Dental Care Po Box 367 Blountstown FL 32424-0367 Ph: (850) 398-4425 | Senior Dental Care 16700 Se Pear St Blountstown FL 32424-2177 Ph: (850) 398-4425 |
| NPI Number | 1457692618 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457692618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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