| Stellar Smile Family Dentistry | |
|
815 Cheney Hwy Titusville FL 32780-6960 | |
| (321) 268-0108 | |
| (321) 269-6033 |
| Full Name | Stellar Smile Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 815 Cheney Hwy, Titusville, Florida |
| Authorized Official Name and Position | Glenna Morris (ADMIN OFFICER) |
| Authorized Official Contact | 3212680108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Smile Family Dentistry 815 Cheney Hwy Titusville FL 32780-6960 Ph: (321) 268-0108 | Stellar Smile Family Dentistry 815 Cheney Hwy Titusville FL 32780-6960 Ph: (321) 268-0108 |
| NPI Number | 1407212558 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407212558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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