| Tuscawilla Dental Llc | |
|
2102 S Ridgewood Ave Ste 6 Edgewater FL 32141-4240 | |
| (386) 423-3652 | |
| (386) 423-3653 |
| Full Name | Tuscawilla Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2102 S Ridgewood Ave, Edgewater, Florida |
| Authorized Official Name and Position | David Richard Mccreary (OWNER) |
| Authorized Official Contact | 3864233652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuscawilla Dental Llc 2102 S Ridgewood Ave Ste 6 Edgewater FL 32141-4240 Ph: (386) 423-3652 | Tuscawilla Dental Llc 2102 S Ridgewood Ave Ste 6 Edgewater FL 32141-4240 Ph: (386) 423-3652 |
| NPI Number | 1598930646 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598930646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15207 (Florida) | Primary |
Florida Healthy Sleep Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 S Ridgewood Ave, #6, Edgewater, FL 32141 Phone: 386-957-5710 |