| Buckeye Dental Of Tavernier Llc | |
|
91750 Overseas Hwy Tavernier FL 33070-2642 | |
| (305) 852-3219 | |
| (305) 852-9016 |
| Full Name | Buckeye Dental Of Tavernier Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 91750 Overseas Hwy, Tavernier, Florida |
| Authorized Official Name and Position | Osmani Diaz (GENERAL PARTNER) |
| Authorized Official Contact | 9546328100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Dental Of Tavernier Llc 91750 Overseas Hwy Tavernier FL 33070-2642 Ph: (305) 852-3219 | Buckeye Dental Of Tavernier Llc 91750 Overseas Hwy Tavernier FL 33070-2642 Ph: (305) 852-3219 |
| NPI Number | 1205165081 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205165081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12310 (Florida) | Primary |
John L Izanec Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91750 Overseas Hwy, Tavernier, FL 33070 Phone: 305-852-3219 Fax: 305-852-9016 | |
Island Smiles,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 90290 Overseas Hwy Ste 108, Tavernier, FL 33070 Phone: 305-338-7401 |