| Grand Dental, Llc | |
|
3401 W Fletcher Ave Suite A Tampa FL 33618-2813 | |
| (813) 269-4000 | |
| (813) 269-4001 |
| Full Name | Grand Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3401 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Sylvia Jessene Miller (INSURANCE COORDINATOR) |
| Authorized Official Contact | 3214312208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Dental, Llc 3401 W Fletcher Ave Suite A Tampa FL 33618-2813 Ph: (813) 269-4000 | Grand Dental, Llc 3401 W Fletcher Ave Suite A Tampa FL 33618-2813 Ph: (813) 269-4000 |
| NPI Number | 1831561125 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831561125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
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