| Suncoast Oral Surgery, Llc. | |
|
4809 Trouble Creek Rd New Port Richey FL 34652-4828 | |
| (727) 560-5393 | |
| Not Available |
| Full Name | Suncoast Oral Surgery, Llc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4809 Trouble Creek Rd, New Port Richey, Florida |
| Authorized Official Name and Position | Pamela Rowan (SECRETARY) |
| Authorized Official Contact | 7275605393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Oral Surgery, Llc. 4809 Trouble Creek Rd New Port Richey FL 34652-4828 Ph: (727) 560-5393 | Suncoast Oral Surgery, Llc. 4809 Trouble Creek Rd New Port Richey FL 34652-4828 Ph: (727) 560-5393 |
| NPI Number | 1740725753 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 07/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740725753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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