| Tdn Dentistry, Pllc | |
|
322 S 6th Ave Wauchula FL 33873-3207 | |
| (863) 773-9344 | |
| (863) 773-9350 |
| Full Name | Tdn Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 322 S 6th Ave, Wauchula, Florida |
| Authorized Official Name and Position | Robert L Demint (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8136922224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdn Dentistry, Pllc 1 N Dale Mabry Hwy Ste 605 Tampa FL 33609-2781 Ph: (813) 692-2200 | Tdn Dentistry, Pllc 322 S 6th Ave Wauchula FL 33873-3207 Ph: (863) 773-9344 |
| NPI Number | 1790400406 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790400406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Wauhcula Dental Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 S 6th Ave, Wauchula, FL 33873 Phone: 863-773-9344 Fax: 863-773-9350 |