| Lifetime Dental, Inc | |
|
215 E Burleigh Blvd Tavares FL 32778-2403 | |
| (352) 253-6400 | |
| (352) 253-6401 |
| Full Name | Lifetime Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 E Burleigh Blvd, Tavares, Florida |
| Authorized Official Name and Position | Charles William Reinertsen (OWNER/DENTIST) |
| Authorized Official Contact | 3522536400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental, Inc 215 E Burleigh Blvd Tavares FL 32778-2403 Ph: (352) 253-6400 | Lifetime Dental, Inc 215 E Burleigh Blvd Tavares FL 32778-2403 Ph: (352) 253-6400 |
| NPI Number | 1497906705 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497906705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN8245 (Florida) | Primary |
Robert W Ladley D.m.d. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320a W Burleigh Blvd, Tavares, FL 32778 Phone: 352-742-3383 Fax: 352-742-3583 | |
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