| Shore Dental, Llc | |
|
4901 White Ibis Drive North Port FL 34287 | |
| (941) 474-9548 | |
| Not Available |
| Full Name | Shore Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4901 White Ibis Drive, North Port, Florida |
| Authorized Official Name and Position | Noelle Schmitz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9414749548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Dental, Llc 1861 Placida Rd Ste 105 Englewood FL 34223-4900 Ph: (941) 474-9548 | Shore Dental, Llc 4901 White Ibis Drive North Port FL 34287 Ph: (941) 474-9548 |
| NPI Number | 1114446218 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114446218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
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