| Brevard Endodontics | |
|
1601 S Apollo Blvd Melbourne FL 32901-4484 | |
| (321) 984-0034 | |
| (321) 984-7844 |
| Full Name | Brevard Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1601 S Apollo Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Phil Graves (OPERATIONS/BUSINESS MANAGER) |
| Authorized Official Contact | 3216220440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Endodontics 1360 Bedford Dr Melbourne FL 32940-1992 Ph: (321) 242-7550 | Brevard Endodontics 1601 S Apollo Blvd Melbourne FL 32901-4484 Ph: (321) 984-0034 |
| NPI Number | 1467044198 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467044198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Primary |
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