| Tdc Port St.lucie Llc | |
|
1385 Sw Gatlin Blvd Port St Lucie FL 34953-4102 | |
| (561) 777-8980 | |
| Not Available |
| Full Name | Tdc Port St.lucie Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1385 Sw Gatlin Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Jordan Tomalty (OWNER/DENTIST) |
| Authorized Official Contact | 5617778980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Port St.lucie Llc 1385 Sw Gatlin Blvd Port St Lucie FL 34953-4102 Ph: () - | Tdc Port St.lucie Llc 1385 Sw Gatlin Blvd Port St Lucie FL 34953-4102 Ph: (561) 777-8980 |
| NPI Number | 1952832313 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952832313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Tdc Port St. Lucie Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-335-7766 | |
Professional Dental Alliance Of Prt St Lucie St Lucie, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-335-3088 | |
Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Se Port St Lucie Blvd, Sb, Port St Lucie, FL 34952 Phone: 772-335-3088 Fax: 772-398-0041 | |
Murrin Dental Management Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10157 S Federal Hwy, Port St Lucie, FL 34952 Phone: 772-337-1127 | |
St. Lucie Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10457 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-236-6394 | |
Dental Arts Of St Lucie West Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Sw St Lucie West Blvd, Suite 105, Port St Lucie, FL 34986 Phone: 772-878-7300 Fax: 772-878-9200 | |
Stranigan, Askeland Dmd. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Bethany Dr, Port St Lucie, FL 34986 Phone: 772-340-0805 Fax: 772-340-0453 |