| Tdc Ocean Dental, Pllc | |
|
491 Sw Port St Lucie Blvd Port St Lucie FL 34953-2044 | |
| (772) 878-7525 | |
| (772) 340-1807 |
| Full Name | Tdc Ocean Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 491 Sw Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Jordan Tomalty (OWNER) |
| Authorized Official Contact | 5616339676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Ocean Dental, Pllc 491 Sw Port St Lucie Blvd Port St Lucie FL 34953-2044 Ph: (772) 878-7525 | Tdc Ocean Dental, Pllc 491 Sw Port St Lucie Blvd Port St Lucie FL 34953-2044 Ph: (772) 878-7525 |
| NPI Number | 1326754128 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326754128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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