| Crestview Dental Care PLLC | |
|
838 W James Lee Blvd Crestview FL 32536-5166 | |
| (850) 689-1858 | |
| Not Available |
| Full Name | Crestview Dental Care PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 838 W James Lee Blvd, Crestview, Florida |
| Authorized Official Name and Position | Peter Kelly (OWNER) |
| Authorized Official Contact | 4074326224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Dental Care PLLC 838 W James Lee Blvd Crestview FL 32536-5166 | Crestview Dental Care PLLC 838 W James Lee Blvd Crestview FL 32536-5166 Ph: (850) 689-1858 |
| NPI Number | 1700707247 |
|---|---|
| Provider Enumeration Date | 07/22/2026 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700707247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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