| Complete Dental Care | |
|
1940 Tamiami Trail Suite 102 Port Charlotte FL 33948-2105 | |
| (941) 625-7413 | |
| (941) 625-2417 |
| Full Name | Complete Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1940 Tamiami Trail, Port Charlotte, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Dental Care 1940 Tamiami Trail Suite 102 Port Charlotte FL 33948-2105 Ph: (941) 625-7413 | Complete Dental Care 1940 Tamiami Trail Suite 102 Port Charlotte FL 33948-2105 Ph: (941) 625-7413 |
| NPI Number | 1477736643 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 09/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477736643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
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