| Pezzella Family Dentistry Llc | |
|
901 Tyrone Blvd N Saint Petersburg FL 33710-6332 | |
| (860) 966-3564 | |
| Not Available |
| Full Name | Pezzella Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 901 Tyrone Blvd N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Salvatore Robert Pezzella (DENTIST/ OWNER) |
| Authorized Official Contact | 8609663564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pezzella Family Dentistry Llc 1637 Country Walk Dr Fleming Isle FL 32003-8614 Ph: (860) 966-3564 | Pezzella Family Dentistry Llc 901 Tyrone Blvd N Saint Petersburg FL 33710-6332 Ph: (860) 966-3564 |
| NPI Number | 1801330246 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801330246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN20846 (Florida) | Primary |
Devin Gapstur, D.m.d. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8934 4th St N, Saint Petersburg, FL 33702 Phone: 727-576-3319 | |
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