| Randall L Weisel, DDS, PA | |
|
3700 E Bay Dr Largo FL 33771-1935 | |
| (727) 536-5787 | |
| (727) 530-9630 |
| Full Name | Randall L Weisel, DDS, PA |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3700 E Bay Dr, Largo, Florida |
| Authorized Official Name and Position | Randall L Weisel (PRESIDENT) |
| Authorized Official Contact | 7275365787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall L Weisel, DDS, PA 3700 E Bay Dr Largo FL 33771-1935 Ph: (727) 536-5787 | Randall L Weisel, DDS, PA 3700 E Bay Dr Largo FL 33771-1935 Ph: (727) 536-5787 |
| NPI Number | 1871677708 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871677708 | NPI | - | NPPES |
| 60453 | Other | FL | BLUE CROSS BLUE SHIELD |
| 9676 | Other | FL | SAFEGUARD |
| 15140 | Other | FL | FORTIS |
| 215754 | Other | FL | CIGNA |
| 604999 | Other | FL | UNITED CONCORDIA |
| 4010 | Other | FL | COMPBENEFITS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0010195 (Florida) | Primary |
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