| Coral Reef Dental Llc | |
|
3490 E Lake Rd Ste A Palm Harbor FL 34685-2421 | |
| (727) 789-1333 | |
| (727) 772-4166 |
| Full Name | Coral Reef Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3490 E Lake Rd Ste A, Palm Harbor, Florida |
| Authorized Official Name and Position | Paul Caputo (MANAGING MEMBER) |
| Authorized Official Contact | 7277891333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Reef Dental Llc 3490 E Lake Rd Ste A Palm Harbor FL 34685-2421 Ph: (727) 789-1333 | Coral Reef Dental Llc 3490 E Lake Rd Ste A Palm Harbor FL 34685-2421 Ph: (727) 789-1333 |
| NPI Number | 1083589766 |
|---|---|
| Provider Enumeration Date | 10/10/2025 |
| Last Update Date | 10/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083589766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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