| Village Dental | |
|
111 Lagrande Blvd The Villages FL 32159-1302 | |
| (352) 753-7507 | |
| (352) 753-5079 |
| Full Name | Village Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 Lagrande Blvd, The Villages, Florida |
| Authorized Official Name and Position | Richard P Hall (VICE PRESIDENT) |
| Authorized Official Contact | 3527537507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental Po Box 1900 Lady Lake FL 32158-1900 Ph: (352) 753-7507 | Village Dental 111 Lagrande Blvd The Villages FL 32159-1302 Ph: (352) 753-7507 |
| NPI Number | 1023165669 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023165669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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