| Josh Samuel Dmd Pa | |
|
11201 Corporate Cir N Ste 160 St Petersburg FL 33716-3701 | |
| (727) 577-4911 | |
| Not Available |
| Full Name | Josh Samuel Dmd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11201 Corporate Cir N Ste 160, St Petersburg, Florida |
| Authorized Official Name and Position | Josh Samuel (CEO) |
| Authorized Official Contact | 9548175447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josh Samuel Dmd Pa 1115 E Twiggs St Unit 1416 Tampa FL 33602-3183 Ph: () - | Josh Samuel Dmd Pa 11201 Corporate Cir N Ste 160 St Petersburg FL 33716-3701 Ph: (727) 577-4911 |
| NPI Number | 1386434124 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386434124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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