| South Lake Dental | |
|
533 Cagan Park Ave Suite 307 Clermont FL 34714 | |
| (352) 242-0912 | |
| (352) 242-2712 |
| Full Name | South Lake Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 533 Cagan Park Ave, Clermont, Florida |
| Authorized Official Name and Position | Carla Patricia Talavera-jordan (PRESIDENT) |
| Authorized Official Contact | 3522420912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Dental 533 Cagan Park Ave Suite 307 Clermont FL 34714-4867 Ph: (352) 242-0912 | South Lake Dental 533 Cagan Park Ave Suite 307 Clermont FL 34714 Ph: (352) 242-0912 |
| NPI Number | 1598979122 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 11/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598979122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 16454 (Florida) | Primary |
Leonard S Kaplan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 E Hwy 50, Suite 100, Clermont, FL 34711 Phone: 352-742-0484 Fax: 352-742-0923 | |
Tomas J. Ballesteros D.m.d. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Desoto St, Clermont, FL 34711 Phone: 352-394-3071 Fax: 352-394-3079 | |
Advanced Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1471 Johns Lake Rd Ste 1, Clermont, FL 34711 Phone: 321-204-6471 Fax: 407-674-2539 | |
Citrus Ridge Dental Center, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 N Highway 27, Suite F, Clermont, FL 34711 Phone: 352-243-0018 Fax: 352-243-6700 | |
The Brace Place, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 East Ave, Clermont, FL 34711 Phone: 352-242-1818 Fax: 352-242-4835 | |
Smiles On Hampton Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Hampton St, Clermont, FL 34711 Phone: 352-394-3001 | |
Clermont Kids Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1655 E Hwy 50 Ste 101, Clermont, FL 34711 Phone: 407-446-6644 |