| Mitchell Oral Surgery And Implant Centers Pa | |
|
2535 Landmark Dr Ste 105 Clearwater FL 33761-3930 | |
| (727) 791-6529 | |
| Not Available |
| Full Name | Mitchell Oral Surgery And Implant Centers Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2535 Landmark Dr Ste 105, Clearwater, Florida |
| Authorized Official Name and Position | Mark Wayne Mitchell (OWNER) |
| Authorized Official Contact | 7278425180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Oral Surgery And Implant Centers Pa 6731 Madison St New Port Richey FL 34652-1928 Ph: (727) 842-5180 | Mitchell Oral Surgery And Implant Centers Pa 2535 Landmark Dr Ste 105 Clearwater FL 33761-3930 Ph: (727) 791-6529 |
| NPI Number | 1003287129 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 10/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003287129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN10802 (Florida) | Primary |
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