| The Tooth Shop On 46 | |
|
25520 State Road 46 Sorrento FL 32776-9526 | |
| (352) 735-2211 | |
| (352) 735-5844 |
| Full Name | The Tooth Shop On 46 |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25520 State Road 46, Sorrento, Florida |
| Authorized Official Name and Position | Dana Syska (PRACTICE MANAGER) |
| Authorized Official Contact | 3523914231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tooth Shop On 46 25520 State Road 46 Sorrento FL 32776-9526 Ph: (352) 735-2211 | The Tooth Shop On 46 25520 State Road 46 Sorrento FL 32776-9526 Ph: (352) 735-2211 |
| NPI Number | 1932850385 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932850385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Ronald E Holman, Dds,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25520 State Road 46, Sorrento, FL 32776 Phone: 352-735-2212 | |
The Tooth Shop Of Ocala, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25520 State Road 46, Sorrento, FL 32776 Phone: 352-735-2211 Fax: 352-735-5844 |