| Waterside Dental | |
|
1214 E Venice Ave Ste B Venice FL 34285-7165 | |
| (941) 484-8481 | |
| (941) 485-6101 |
| Full Name | Waterside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1214 E Venice Ave Ste B, Venice, Florida |
| Authorized Official Name and Position | Rosa Lesso (NATIONAL DIRECTOR OF RCM) |
| Authorized Official Contact | 7145713471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterside Dental 136 4th St N Ste 201 St Petersburg FL 33701-3889 Ph: (727) 800-8026 | Waterside Dental 1214 E Venice Ave Ste B Venice FL 34285-7165 Ph: (941) 484-8481 |
| NPI Number | 1316377641 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316377641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11595 (Florida) | Primary |
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