| Dental Surgery Specialists Of Okeechobee | |
|
113 Ne 19th Dr Okeechobee FL 34972-1933 | |
| (863) 824-6125 | |
| Not Available |
| Full Name | Dental Surgery Specialists Of Okeechobee |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 113 Ne 19th Dr, Okeechobee, Florida |
| Authorized Official Name and Position | Glen Casto (OWNER) |
| Authorized Official Contact | 8638246125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Surgery Specialists Of Okeechobee 113 Ne 19th Dr Okeechobee FL 34972-1933 Ph: (863) 824-6125 | Dental Surgery Specialists Of Okeechobee 113 Ne 19th Dr Okeechobee FL 34972-1933 Ph: (863) 824-6125 |
| NPI Number | 1174888663 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174888663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN16640 (Florida) | Primary |
| 1223P0300X | Dentist - Periodontics | DN17032 (Florida) | Secondary |
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