| The Tooth Caboose | |
|
2005 Thonotosassa Rd Plant City FL 33563-2972 | |
| (813) 752-3555 | |
| (727) 752-9274 |
| Full Name | The Tooth Caboose |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2005 Thonotosassa Rd, Plant City, Florida |
| Authorized Official Name and Position | Billy Gene Whitehead (OWNER) |
| Authorized Official Contact | 7274418963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tooth Caboose 2005 Thonotosassa Road Plant City FL 33566 Ph: (813) 752-3555 | The Tooth Caboose 2005 Thonotosassa Rd Plant City FL 33563-2972 Ph: (813) 752-3555 |
| NPI Number | 1477681872 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477681872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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