| Speed Dental Care | |
|
6112 Parkset Dr Lithia FL 33547-4872 | |
| (813) 940-2313 | |
| Not Available |
| Full Name | Speed Dental Care |
|---|---|
| Speciality | Dental Hygienist |
| Location | 6112 Parkset Dr, Lithia, Florida |
| Authorized Official Name and Position | Mauricio Orlandi (OWNER) |
| Authorized Official Contact | 7274245202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speed Dental Care 6112 Parkset Dr Lithia FL 33547-4872 Ph: (813) 940-2313 | Speed Dental Care 6112 Parkset Dr Lithia FL 33547-4872 Ph: (813) 940-2313 |
| NPI Number | 1831973379 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 4183067424 |
|---|---|
| Medicare Enrollment ID | O20240203000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831973379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |
| Provider Name | Felipe Salles |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003330416 PECOS PAC ID: 8628411964 Enrollment ID: I20240203000384 |
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