| Titusville Smiles Dentistry | |
|
3135 Columbia Blvd Suite 100 Titusville FL 32780 | |
| (407) 792-3973 | |
| Not Available |
| Full Name | Titusville Smiles Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3135 Columbia Blvd, Titusville, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Titusville Smiles Dentistry 3135 Columbia Blvd Suite 100 Titusville FL 32780 Ph: () - | Titusville Smiles Dentistry 3135 Columbia Blvd Suite 100 Titusville FL 32780 Ph: (407) 792-3973 |
| NPI Number | 1235500471 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235500471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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