| Clermont Dentistry PLLC | |
|
1580 Hooks St Clermont FL 34711 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Clermont Dentistry PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1580 Hooks St, Clermont, Florida |
| Authorized Official Name and Position | Peter Kelly (OWNER) |
| Authorized Official Contact | 4104103031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clermont Dentistry PLLC 1580 Hooks St Clermont FL 34711 | Clermont Dentistry PLLC 1580 Hooks St Clermont FL 34711 Ph: (000) 000-0000 |
| NPI Number | 1336714377 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336714377 | NPI | - | NPPES |
| DN19430 | Other | FL | STATE LICENSE |
| DN22019 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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