| Paradise Dental | |
|
1711 Lakewood Ranch Blvd Bradenton FL 34211-4906 | |
| (941) 962-8480 | |
| Not Available |
| Full Name | Paradise Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 1711 Lakewood Ranch Blvd, Bradenton, Florida |
| Authorized Official Name and Position | Jeffrey Martins (OWNER AND DENTIST) |
| Authorized Official Contact | 9419628480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Dental 6832 Bay Hill Dr Lakewood Ranch FL 34202-2500 Ph: (941) 962-8480 | Paradise Dental 1711 Lakewood Ranch Blvd Bradenton FL 34211-4906 Ph: (941) 962-8480 |
| NPI Number | 1467075986 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 1557837986 |
|---|---|
| Medicare Enrollment ID | O20260414002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467075986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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