| Kissimmee Children's Dentistry | |
|
595 Oak Commons Blvd Ste C Kissimmee FL 34741-4211 | |
| (407) 870-0717 | |
| Not Available |
| Full Name | Kissimmee Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 595 Oak Commons Blvd Ste C, Kissimmee, Florida |
| Authorized Official Name and Position | Andrew Weaver (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9043957772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kissimmee Children's Dentistry 3030 Hartley Rd Ste 310 Jacksonville FL 32257-8213 Ph: (904) 395-7772 | Kissimmee Children's Dentistry 595 Oak Commons Blvd Ste C Kissimmee FL 34741-4211 Ph: (407) 870-0717 |
| NPI Number | 1083383582 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083383582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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