| Southern Trace Dental | |
|
3495 Wedgewood Ln The Villages FL 32162-7184 | |
| (352) 751-5777 | |
| Not Available |
| Full Name | Southern Trace Dental |
|---|---|
| Speciality | Dentist |
| Location | 3495 Wedgewood Ln, The Villages, Florida |
| Authorized Official Name and Position | Robert Donnie Lesh (MANAGER) |
| Authorized Official Contact | 3527515777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Trace Dental 3495 Wedgewood Ln The Villages FL 32162-7184 Ph: (352) 751-5777 | Southern Trace Dental 3495 Wedgewood Ln The Villages FL 32162-7184 Ph: (352) 751-5777 |
| NPI Number | 1407083322 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407083322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15201 (Florida) | Primary |
Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Lagrande Blvd, The Villages, FL 32159 Phone: 352-753-7507 Fax: 352-753-5079 | |
Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2532 Burnsed Blvd, The Villages, FL 32163 Phone: 352-205-7667 Fax: 352-205-8754 | |
Ammar Mousa Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 Kristine Way, The Villages, FL 32163 Phone: 352-461-0599 Fax: 352-748-3345 | |
Sage Dental Villages At Colony Plaza Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Colony Blvd, The Villages, FL 32162 Phone: 561-999-9650 | |
Comfortable Care Dental Health Professionals, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2203 Everglades Ln, The Villages, FL 32163 Phone: 352-626-9033 | |
Grand Traverse Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2943 Traverse Trl, The Villages, FL 32163 Phone: 352-663-2612 | |
Village Sleep Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Laurel Manor Dr Ste 180b, The Villages, FL 32162 Phone: 352-430-1710 Fax: 352-753-7340 |