| Bradford Family Dentistry, Pl | |
|
315 West Call Street Starke FL 32091-3113 | |
| (904) 964-7501 | |
| (904) 964-7503 |
| Full Name | Bradford Family Dentistry, Pl |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 315 West Call Street, Starke, Florida |
| Authorized Official Name and Position | William Marchese (PARTNER) |
| Authorized Official Contact | 9049647501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Family Dentistry, Pl 315 W Call St Starke FL 32091-3113 Ph: (904) 964-7501 | Bradford Family Dentistry, Pl 315 West Call Street Starke FL 32091-3113 Ph: (904) 964-7501 |
| NPI Number | 1790781623 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790781623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 07445 (Florida) | Primary |
Bill Marchese, Pl Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W Call St, Starke, FL 32091 Phone: 904-964-7501 Fax: 904-964-7503 |