| Supreme Smiles Of Sarasota | |
|
2345 Bee Ridge Rd Suite 4 Sarasota FL 34239-6251 | |
| (941) 923-7060 | |
| (941) 925-4724 |
| Full Name | Supreme Smiles Of Sarasota |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2345 Bee Ridge Rd, Sarasota, Florida |
| Authorized Official Name and Position | Melvin Mathew Korattiyil (DENTIST) |
| Authorized Official Contact | 9419237060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Smiles Of Sarasota 2345 Bee Ridge Rd Suite 4 Sarasota FL 34239-6251 Ph: (941) 923-7060 | Supreme Smiles Of Sarasota 2345 Bee Ridge Rd Suite 4 Sarasota FL 34239-6251 Ph: (941) 923-7060 |
| NPI Number | 1629433800 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629433800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN18851 (Florida) | Primary |
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