| Main Street Orthodontics Of Jupiter | |
|
175 Toney Penna Dr Ste 105 Jupiter FL 33458-5747 | |
| (561) 745-3118 | |
| (561) 745-2440 |
| Full Name | Main Street Orthodontics Of Jupiter |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 175 Toney Penna Dr Ste 105, Jupiter, Florida |
| Authorized Official Name and Position | Melody Parrish (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Orthodontics Of Jupiter 175 Toney Penna Dr Ste 105 Jupiter FL 33458-5747 Ph: (561) 745-3118 | Main Street Orthodontics Of Jupiter 175 Toney Penna Dr Ste 105 Jupiter FL 33458-5747 Ph: (561) 745-3118 |
| NPI Number | 1316144355 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316144355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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