| Jcdc Dental Inc | |
|
12229 W Linebaugh Ave Tampa FL 33626-1743 | |
| (813) 475-4528 | |
| (813) 475-4247 |
| Full Name | Jcdc Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12229 W Linebaugh Ave, Tampa, Florida |
| Authorized Official Name and Position | David L Castellano (VICE PRESIDENT/DENTIST) |
| Authorized Official Contact | 8134754528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcdc Dental Inc 12229 W Linebaugh Ave Tampa FL 33626-1743 Ph: (813) 475-4528 | Jcdc Dental Inc 12229 W Linebaugh Ave Tampa FL 33626-1743 Ph: (813) 475-4528 |
| NPI Number | 1720733041 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720733041 | NPI | - | NPPES |
| DN9796 | Other | FL | FLORIDA |
| DN15383 | Other | FL | FLORIDA |
| DN22073 | Other | FL | FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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