| Bayberry Dental | |
|
16228 Bayberry Glen Dr Lithia FL 33547-4051 | |
| (813) 343-2430 | |
| Not Available |
| Full Name | Bayberry Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16228 Bayberry Glen Dr, Lithia, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayberry Dental 16228 Bayberry Glen Dr Lithia FL 33547-4051 Ph: (813) 343-2430 | Bayberry Dental 16228 Bayberry Glen Dr Lithia FL 33547-4051 Ph: (813) 343-2430 |
| NPI Number | 1427569342 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427569342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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