| Tdn Ortho Lakewood Ranch Pllc | |
|
6286 Lake Osprey Dr Lakewood Ranch FL 34240-8425 | |
| (941) 907-8898 | |
| (941) 907-2244 |
| Full Name | Tdn Ortho Lakewood Ranch Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6286 Lake Osprey Dr, Lakewood Ranch, 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 Ortho Lakewood Ranch Pllc 1 N Dale Mabry Hwy Ste 605 Tampa FL 33609 Ph: (813) 692-2224 | Tdn Ortho Lakewood Ranch Pllc 6286 Lake Osprey Dr Lakewood Ranch FL 34240-8425 Ph: (941) 907-8898 |
| NPI Number | 1104504877 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104504877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Tdn Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6286 Lake Osprey Dr, Lakewood Ranch, FL 34240 Phone: 941-907-8898 Fax: 941-907-2244 | |
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