| Monticello Dentistry Pllc | |
|
1535 W Washington St Monticello FL 32344-1133 | |
| (850) 997-2485 | |
| (850) 997-3783 |
| Full Name | Monticello Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1535 W Washington St, Monticello, Florida |
| Authorized Official Name and Position | Warren Joseph Thiry (PRESIDENT / DENTIST) |
| Authorized Official Contact | 8509972485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Dentistry Pllc 1535 W Washington St Monticello FL 32344-1133 Ph: (850) 997-2485 | Monticello Dentistry Pllc 1535 W Washington St Monticello FL 32344-1133 Ph: (850) 997-2485 |
| NPI Number | 1316431455 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316431455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN18939 (Florida) | Primary |