| Dba Prestige Dentistry | |
|
1641 Davenport Drive Trinity FL 34655 | |
| (727) 789-1980 | |
| (727) 789-4686 |
| Full Name | Dba Prestige Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1641 Davenport Drive, Trinity, Florida |
| Authorized Official Name and Position | Tammy L Hoover (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7277891980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Prestige Dentistry 1641 Davenport Drive Trinity FL 34655 Ph: (727) 789-1980 | Dba Prestige Dentistry 1641 Davenport Drive Trinity FL 34655 Ph: (727) 789-1980 |
| NPI Number | 1083822035 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083822035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11016 (Florida) | Primary |
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