| Eastman Craighead Periodontics & Implants - Lakewood Ranch | |
|
6310 Health Park Way Ste 240 Lakewood Ranch FL 34202-5177 | |
| (941) 351-3000 | |
| (941) 351-2767 |
| Full Name | Eastman Craighead Periodontics & Implants - Lakewood Ranch |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6310 Health Park Way Ste 240, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Robert L Demint (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8136922205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastman Craighead Periodontics & Implants - Lakewood Ranch 1 N Dale Mabry Hwy Ste 605 Tampa FL 33609-2781 Ph: (813) 692-2200 | Eastman Craighead Periodontics & Implants - Lakewood Ranch 6310 Health Park Way Ste 240 Lakewood Ranch FL 34202-5177 Ph: (941) 351-3000 |
| NPI Number | 1548986441 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548986441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
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