| The Tooth Shop Of Ocala, Llc | |
|
25520 State Road 46 Sorrento FL 32776-9526 | |
| (352) 735-2211 | |
| (352) 735-5844 |
| Full Name | The Tooth Shop Of Ocala, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25520 State Road 46, Sorrento, Florida |
| Authorized Official Name and Position | Dana Syska (PRACTICE MANAGER) |
| Authorized Official Contact | 3527322458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tooth Shop Of Ocala, Llc 8205 Conway Rd Yalaha FL 34797-3402 Ph: (352) 391-4231 | The Tooth Shop Of Ocala, Llc 25520 State Road 46 Sorrento FL 32776-9526 Ph: (352) 735-2211 |
| NPI Number | 1902499338 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902499338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (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 On 46 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25520 State Road 46, Sorrento, FL 32776 Phone: 352-735-2211 Fax: 352-735-5844 |