| Tavares Dental Pllc | |
|
109 W Main St Tavares FL 32778-3809 | |
| (352) 343-2821 | |
| Not Available |
| Full Name | Tavares Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 109 W Main St, Tavares, Florida |
| Authorized Official Name and Position | Robert Kent Howell (MANAGER) |
| Authorized Official Contact | 8019712283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavares Dental Pllc 838 Highway 466 Lady Lake FL 32159-3918 Ph: (801) 971-2283 | Tavares Dental Pllc 109 W Main St Tavares FL 32778-3809 Ph: (352) 343-2821 |
| NPI Number | 1588296883 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588296883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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