| Seaside Smiles LLC | |
|
6012 26th St W Bradenton FL 34207-4401 | |
| (757) 619-3279 | |
| Not Available |
| Full Name | Seaside Smiles LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6012 26th St W, Bradenton, Florida |
| Authorized Official Name and Position | Brantley Mccarty (OWNER) |
| Authorized Official Contact | 7576193279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Smiles LLC 6012 26th St W Bradenton FL 34207-4401 | Seaside Smiles LLC 6012 26th St W Bradenton FL 34207-4401 Ph: (757) 619-3279 |
| NPI Number | 1396524419 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396524419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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