| Srq Endodontics | |
|
2426 S Tamiami Trl Ste 200 Sarasota FL 34239-3842 | |
| (941) 366-0474 | |
| (941) 366-0292 |
| Full Name | Srq Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2426 S Tamiami Trl Ste 200, Sarasota, Florida |
| Authorized Official Name and Position | Robert L Demint (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8136922224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srq Endodontics 1 N Dale Mabry Hwy Ste 605 Tampa FL 33609-2781 Ph: (813) 692-2200 | Srq Endodontics 2426 S Tamiami Trl Ste 200 Sarasota FL 34239-3842 Ph: (941) 366-0474 |
| NPI Number | 1124745203 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124745203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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