Southern Dental Associates, P.a. | |
151 W Airport Blvd Pensacola FL 32505 | |
(850) 477-5252 | |
(850) 477-5532 |
Full Name | Southern Dental Associates, P.a. |
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Speciality | Dentist - General Practice |
Location | 151 W Airport Blvd, Pensacola, Florida |
Authorized Official Name and Position | Andrew Ellison Trammell (OWNER DENTIST SECRETARY OFFICER) |
Authorized Official Contact | 8504775252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Dental Associates, P.a. 151 W Airport Blvd Pensacola FL 32505 Ph: (850) 477-5252 | Southern Dental Associates, P.a. 151 W Airport Blvd Pensacola FL 32505 Ph: (850) 477-5252 |
NPI Number | 1700987732 |
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Provider Enumeration Date | 09/25/2006 |
Last Update Date | 01/18/2008 |
Identifier | Type | State | Issuer |
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1700987732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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