| Coastal Jaw Surgery | |
|
8845 Hawbuck St Trinity FL 34655-5361 | |
| (727) 786-1631 | |
| (727) 785-8477 |
| Full Name | Coastal Jaw Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8845 Hawbuck St, Trinity, Florida |
| Authorized Official Name and Position | Michael A. Pikos (PRESIDENT) |
| Authorized Official Contact | 7277861631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Jaw Surgery 2711 Tampa Rd Palm Harbor FL 34684-3312 Ph: (727) 786-1631 | Coastal Jaw Surgery 8845 Hawbuck St Trinity FL 34655-5361 Ph: (727) 786-1631 |
| NPI Number | 1942456025 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942456025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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