| Smile 360 Implant and Family Dentistry | |
|
3140 S Falkenburg Rd Ste 204 Riverview FL 33578-2594 | |
| (813) 906-0001 | |
| (813) 906-0163 |
| Full Name | Smile 360 Implant and Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3140 S Falkenburg Rd Ste 204, Riverview, Florida |
| Authorized Official Name and Position | Matthew Carl Byars (OWNER/ DENTIST) |
| Authorized Official Contact | 5869091319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile 360 Implant and Family Dentistry 13406 Goldfinch Dr Lakewood Ranch FL 34202-8276 Ph: (586) 909-1319 | Smile 360 Implant and Family Dentistry 3140 S Falkenburg Rd Ste 204 Riverview FL 33578-2594 Ph: (813) 906-0001 |
| NPI Number | 1194280222 |
|---|---|
| Provider Enumeration Date | 02/03/2019 |
| Last Update Date | 02/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194280222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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