| Weisel Family Dentistry | |
|
1730 S Pinellas Ave Suites J&k Tarpon Springs FL 34689-1959 | |
| (727) 939-2099 | |
| (727) 937-2298 |
| Full Name | Weisel Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1730 S Pinellas Ave, Tarpon Springs, Florida |
| Authorized Official Name and Position | Randall L Weisel (PRESIDENT) |
| Authorized Official Contact | 7279392099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weisel Family Dentistry 1730 S Pinellas Ave Suites J&k Tarpon Springs FL 34689-1959 Ph: (727) 939-2099 | Weisel Family Dentistry 1730 S Pinellas Ave Suites J&k Tarpon Springs FL 34689-1959 Ph: (727) 939-2099 |
| NPI Number | 1326125410 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326125410 | NPI | - | NPPES |
| 9677 | Other | FL | SAFEGUARD |
| 60453 | Other | FL | BLUECROSS BLUESHIELD |
| 4011 | Other | FL | COMPBENEFITS |
| 15141 | Other | FL | FORTIS |
| 700016 | Other | FL | UNITED CONCORDIA |
| 215753 | Other | FL | CIGNA |
| 42082 | Other | FL | ADI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0010195 (Florida) | Primary |
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