| Community Health Centers At Tarpon Dental | |
|
721 East Lime Street Tarpon Springs FL 34689 | |
| (727) 824-8181 | |
| Not Available |
| Full Name | Community Health Centers At Tarpon Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 721 East Lime Street, Tarpon Springs, Florida |
| Authorized Official Name and Position | Elodie Dorso (CEO) |
| Authorized Official Contact | 7278248100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers At Tarpon Dental 14100 58th St N Clearwater FL 33760-9900 Ph: (727) 824-8181 | Community Health Centers At Tarpon Dental 721 East Lime Street Tarpon Springs FL 34689 Ph: (727) 824-8181 |
| NPI Number | 1780286625 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780286625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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