|
| |
|
3308 S Dale Mabry Hwy Tampa FL 33629-7818 | |
| (813) 830-0090 | |
| (813) 835-0638 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3308 S Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Joshua A Wyatt (PRESIDENT/OWNER) |
| Authorized Official Contact | 8505015860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3308 S Dale Mabry Hwy Tampa FL 33629-7818 Ph: (813) 830-0090 | 3308 S Dale Mabry Hwy Tampa FL 33629-7818 Ph: (813) 830-0090 |
| NPI Number | 1881022614 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881022614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18714 (Florida) | Primary |
Coast Dental Of Nevada Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5706 Benjamin Center Dr Ste 103, Tampa, FL 33634 Phone: 813-350-7160 Fax: 813-434-2325 | |
Smile Bright Dental Bbd Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15323 Amberly Dr, Tampa, FL 33647 Phone: 813-515-5915 Fax: 813-515-6915 | |
Mangrove Bay Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13998 W Hillsborough Ave, Tampa, FL 33635 Phone: 813-891-9898 | |
Solsmile Lounge Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8905 Regents Park Dr Ste 250, Tampa, FL 33647 Phone: 813-333-9192 | |
Toothache Center Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12425 N Florida Ave, Tampa, FL 33612 Phone: 813-932-7400 Fax: 813-935-5353 |