| Charles D Mcnutt Dds Pa | |
|
3501 Nw 84th Ave Sunrise FL 33351-6607 | |
| (954) 741-2323 | |
| (954) 749-3606 |
| Full Name | Charles D Mcnutt Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 3501 Nw 84th Ave, Sunrise, Florida |
| Authorized Official Name and Position | Charles Daniel Mcnutt (PRESIDENT) |
| Authorized Official Contact | 9547412323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Mcnutt Dds Pa 3501 Nw 84th Ave Sunrise FL 33351-6607 Ph: (954) 741-2323 | Charles D Mcnutt Dds Pa 3501 Nw 84th Ave Sunrise FL 33351-6607 Ph: (954) 741-2323 |
| NPI Number | 1174783369 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174783369 | NPI | - | NPPES |
| 074253800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5807 (Florida) | Primary |
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