Speck Endodontics, Llc | |
6470 Tippin Ave Pensacola FL 32504-8143 | |
(850) 969-1060 | |
(850) 969-9324 |
Full Name | Speck Endodontics, Llc |
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Speciality | Dentist - Endodontics |
Location | 6470 Tippin Ave, Pensacola, Florida |
Authorized Official Name and Position | Stephen Haines Speck (ENDODONTIST) |
Authorized Official Contact | 2105422080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Speck Endodontics, Llc 6470 Tippin Ave Pensacola FL 32504-8143 Ph: (850) 969-1060 | Speck Endodontics, Llc 6470 Tippin Ave Pensacola FL 32504-8143 Ph: (850) 969-1060 |
NPI Number | 1265825889 |
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Provider Enumeration Date | 03/05/2015 |
Last Update Date | 03/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265825889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | DN21083 (Florida) | Primary |
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