| Sumter Dental Center, P.a. | |
|
410 E Belt Ave Ste D Bushnell FL 33513-5208 | |
| (352) 569-4962 | |
| Not Available |
| Full Name | Sumter Dental Center, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 E Belt Ave Ste D, Bushnell, Florida |
| Authorized Official Name and Position | Tearsa M Smith (OFFICE MANAGER) |
| Authorized Official Contact | 3525690100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumter Dental Center, P.a. 410 E Belt Ave Ste D Bushnell FL 33513-5208 Ph: (352) 569-4962 | Sumter Dental Center, P.a. 410 E Belt Ave Ste D Bushnell FL 33513-5208 Ph: (352) 569-4962 |
| NPI Number | 1306397450 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306397450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
Joseph Brent Novak, Dmd,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Cr 542w, Bushnell, FL 33513 Phone: 352-569-0100 Fax: 352-569-0213 |