Tuscawilla Dental Llc | |
2102 S Ridgewood Ave Ste 6 Edgewater FL 32141-4240 | |
(386) 423-3652 | |
(386) 423-3653 |
Full Name | Tuscawilla Dental Llc |
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Speciality | Dentist - General Practice |
Location | 2102 S Ridgewood Ave, Edgewater, Florida |
Authorized Official Name and Position | David Richard Mccreary (OWNER) |
Authorized Official Contact | 3864233652 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tuscawilla Dental Llc 2102 S Ridgewood Ave Ste 6 Edgewater FL 32141-4240 Ph: (386) 423-3652 | Tuscawilla Dental Llc 2102 S Ridgewood Ave Ste 6 Edgewater FL 32141-4240 Ph: (386) 423-3652 |
NPI Number | 1598930646 |
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Provider Enumeration Date | 04/29/2008 |
Last Update Date | 04/29/2008 |
Identifier | Type | State | Issuer |
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1598930646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN15207 (Florida) | Primary |
Florida Healthy Sleep Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 S Ridgewood Ave, #6, Edgewater, FL 32141 Phone: 386-957-5710 |