| Kasem Dental Llc | |
|
2560 E Hwy 50 Ste 103 Clermont FL 34711-8411 | |
| (352) 989-5815 | |
| Not Available |
| Full Name | Kasem Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2560 E Hwy 50 Ste 103, Clermont, Florida |
| Authorized Official Name and Position | Nusrat Kasem (MANAGER) |
| Authorized Official Contact | 8504434879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasem Dental Llc 965 Sadie Ridge Rd Clermont FL 34715-0027 Ph: (850) 443-4879 | Kasem Dental Llc 2560 E Hwy 50 Ste 103 Clermont FL 34711-8411 Ph: (352) 989-5815 |
| NPI Number | 1962240127 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 7719410570 |
|---|---|
| Medicare Enrollment ID | O20241031002724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962240127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Shovon S Kasem |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497181739 PECOS PAC ID: 0345560777 Enrollment ID: I20241031004241 |
Leonard S Kaplan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 E Hwy 50, Suite 100, Clermont, FL 34711 Phone: 352-742-0484 Fax: 352-742-0923 | |
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