Tampa Bay Dental Sleep Excellence Pa | |
5486 Lithia Pinecrest Rd Lithia FL 33547-2853 | |
(813) 571-5555 | |
(813) 571-5559 |
Full Name | Tampa Bay Dental Sleep Excellence Pa |
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Speciality | Dentist - General Practice |
Location | 5486 Lithia Pinecrest Rd, Lithia, Florida |
Authorized Official Name and Position | Richard M Kernagis (PRESIDENT) |
Authorized Official Contact | 8133740270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tampa Bay Dental Sleep Excellence Pa 4307 W Jetton Ave Tampa FL 33629-4904 Ph: (813) 374-0270 | Tampa Bay Dental Sleep Excellence Pa 5486 Lithia Pinecrest Rd Lithia FL 33547-2853 Ph: (813) 571-5555 |
NPI Number | 1265888606 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 05/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265888606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN15191 (Florida) | Primary |
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Kernagis Dental Excellence Dental Excellence At Fishhawk Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5486 Lithia Pine Crest Rd, Lithia, FL 33547 Phone: 813-571-5555 Fax: 813-571-5559 | |
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