| Myron D. Schrock, D.m.d., P.a. | |
|
17470 Main St N Blountstown FL 32424-1772 | |
| (850) 237-1400 | |
| Not Available |
| Full Name | Myron D. Schrock, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17470 Main St N, Blountstown, Florida |
| Authorized Official Name and Position | Myron Daniel Schrock (OWNER) |
| Authorized Official Contact | 8502371400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myron D. Schrock, D.m.d., P.a. 17470 Main St N Blountstown FL 32424-1772 Ph: (850) 237-1400 | Myron D. Schrock, D.m.d., P.a. 17470 Main St N Blountstown FL 32424-1772 Ph: (850) 237-1400 |
| NPI Number | 1184911745 |
|---|---|
| Provider Enumeration Date | 07/05/2011 |
| Last Update Date | 07/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184911745 | NPI | - | NPPES |
| 074702500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0013527 (Florida) | Primary |
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