| Senior Dental Care, Llc | |
|
20120 Central Avewest Blountstown FL 32424 | |
| (850) 674-1212 | |
| (850) 674-2951 |
| Full Name | Senior Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 20120 Central Avewest, Blountstown, Florida |
| Authorized Official Name and Position | Cassi Layne Copeland (DENTAL HYGIENIST) |
| Authorized Official Contact | 8506741212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Dental Care, Llc 20120 Central Avewest Blountstown FL 32424 Ph: (850) 674-1212 | Senior Dental Care, Llc 20120 Central Avewest Blountstown FL 32424 Ph: (850) 674-1212 |
| NPI Number | 1821305988 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821305988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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