| Southern Trace Dental | |
|
3495 Wedgewood Ln The Villages FL 32162-7184 | |
| (352) 751-5777 | |
| (352) 751-5014 |
| Full Name | Southern Trace Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3495 Wedgewood Ln, The Villages, Florida |
| Authorized Official Name and Position | Linda Keever Higgs (OFFICE 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 | 1780898817 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780898817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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