| Pinecrest Dentistry | |
|
13623 S Dixie Hwy Suite 147 Palmetto Bay FL 33176-7295 | |
| (305) 330-9882 | |
| Not Available |
| Full Name | Pinecrest Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13623 S Dixie Hwy, Palmetto Bay, Florida |
| Authorized Official Name and Position | Jonathan Bridwell (CREDENTIALING ADMIN) |
| Authorized Official Contact | 7148458231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinecrest Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | Pinecrest Dentistry 13623 S Dixie Hwy Suite 147 Palmetto Bay FL 33176-7295 Ph: (305) 330-9882 |
| NPI Number | 1538608831 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538608831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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