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1511 S 25th St Fort Pierce FL 34947-4779 | |
| (772) 464-2943 | |
| (772) 464-8801 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1511 S 25th St, Fort Pierce, Florida |
| Authorized Official Name and Position | W.roger Long (OWNER) |
| Authorized Official Contact | 7724642943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1511 S 25th St Fort Pierce FL 34947-4779 Ph: (772) 464-2943 | 1511 S 25th St Fort Pierce FL 34947-4779 Ph: (772) 464-2943 |
| NPI Number | 1932602661 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932602661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9663 (Florida) | Primary |
Dentaland, Ft Pierce Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 S Federal Hwy, Sabal Palm Plaza, Fort Pierce, FL 34982 Phone: 772-464-4646 Fax: 772-460-9967 | |
Comfortable Care Dental Health Professionals, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W Midway Rd, Fort Pierce, FL 34982 Phone: 772-398-4680 | |
L&d Dental Concepts Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Okeechobee Rd, Fort Pierce, FL 34947 Phone: 315-454-6000 |