| Port Orange Modern Dentistry, Pa | |
|
1765 Dunlawton Ave. Suite 103 Port Orange FL 32129 | |
| (386) 259-3905 | |
| (386) 259-3905 |
| Full Name | Port Orange Modern Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1765 Dunlawton Ave., Port Orange, Florida |
| Authorized Official Name and Position | Minh B Pham (OWNER/GP) |
| Authorized Official Contact | 3862593905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Orange Modern Dentistry, Pa Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Port Orange Modern Dentistry, Pa 1765 Dunlawton Ave. Suite 103 Port Orange FL 32129 Ph: (386) 259-3905 |
| NPI Number | 1982179818 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982179818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
L & L Port Orange, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4904 S Clyde Morris Blvd, Suite B, Port Orange, FL 32129 Phone: 386-788-9959 Fax: 386-788-9850 | |
Comfortable Care Dental Health Professionals, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5510 S Williamson Blvd Unit 107, Port Orange, FL 32128 Phone: 386-229-4573 Fax: 386-229-4577 | |
Cardinal Oral & Maxillofacial Surgery Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Dunlawton Ave, Suite 210, Port Orange, FL 32127 Phone: 386-756-2580 Fax: 386-756-2333 | |
Mcdonnell Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Reed Canal Rd Ste 101, Port Orange, FL 32129 Phone: 386-410-4943 Fax: 386-339-0321 | |
Artistic Center For Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5820 S Williamson Blvd, Suite #1, Port Orange, FL 32128 Phone: 386-760-0366 | |
Spruce Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1763 Taylor Rd Ste 1, Port Orange, FL 32128 Phone: 386-690-6705 | |
Fhasan Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 Dunlawton Ave Ste 101, Port Orange, FL 32127 Phone: 386-233-3040 |