| South Tampa Dentistry | |
|
3308 S Dale Mabry Hwy Tampa FL 33629-7818 | |
| (813) 830-0090 | |
| (813) 835-0638 |
| Full Name | South Tampa Dentistry |
|---|---|
| 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 |
|---|---|
| South Tampa Dentistry 3308 S Dale Mabry Hwy Tampa FL 33629-7818 Ph: (813) 830-0090 | South Tampa Dentistry 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 |
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