| Richard M Kernagis Dmd Pa | |
|
5486 Lithia Pine Crest Rd Lithia FL 33547 | |
| (813) 571-5555 | |
| (813) 571-5559 |
| Full Name | Richard M Kernagis Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 5486 Lithia Pine Crest Rd, Lithia, Florida |
| Authorized Official Name and Position | Richard Michael Kernagis (PRESIDENT) |
| Authorized Official Contact | 8135715555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M Kernagis Dmd Pa 5486 Lithia Pine Crest Rd Lithia FL 33547 Ph: (813) 571-5555 | Richard M Kernagis Dmd Pa 5486 Lithia Pine Crest Rd Lithia FL 33547 Ph: (813) 571-5555 |
| NPI Number | 1568583342 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568583342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15256 (Florida) | Secondary |
| 122300000X | Dentist | DN15191 (Florida) | Primary |
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