| Tampa Bay Dental Sleep Excellence Pa | |
|
5486 Lithia Pinecrest Rd Lithia FL 33547-2853 | |
| (813) 571-5555 | |
| (813) 571-5559 |
| Full Name | Tampa Bay Dental Sleep Excellence Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5486 Lithia Pinecrest Rd, Lithia, Florida |
| Authorized Official Name and Position | Richard M Kernagis (PRESIDENT) |
| Authorized Official Contact | 8133740270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Bay Dental Sleep Excellence Pa 4307 W Jetton Ave Tampa FL 33629-4904 Ph: (813) 374-0270 | Tampa Bay Dental Sleep Excellence Pa 5486 Lithia Pinecrest Rd Lithia FL 33547-2853 Ph: (813) 571-5555 |
| NPI Number | 1265888606 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265888606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15191 (Florida) | Primary |
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