| Pelican Pediatric Dentistry Llc | |
|
260 Beth Stacey Blvd Unit 240 Lehigh Acres FL 33936-6074 | |
| (925) 890-8492 | |
| Not Available |
| Full Name | Pelican Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 260 Beth Stacey Blvd Unit 240, Lehigh Acres, Florida |
| Authorized Official Name and Position | David Luther (MANAGER) |
| Authorized Official Contact | 9258908492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Pediatric Dentistry Llc 260 Beth Stacey Blvd Unit 240 Lehigh Acres FL 33936-6074 Ph: () - | Pelican Pediatric Dentistry Llc 260 Beth Stacey Blvd Unit 240 Lehigh Acres FL 33936-6074 Ph: (925) 890-8492 |
| NPI Number | 1265324644 |
|---|---|
| Provider Enumeration Date | 07/18/2025 |
| Last Update Date | 07/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265324644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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