| Whitesides Orthodontics Pllc | |
|
2286 Tamiami Trl Port Charlotte FL 33952-3924 | |
| (941) 627-2011 | |
| (941) 627-6716 |
| Full Name | Whitesides Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2286 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Joseph M Whitesides (MANAGING MEMBER) |
| Authorized Official Contact | 9416272011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitesides Orthodontics Pllc 2286 Tamiami Trl Port Charlotte FL 33952-3924 Ph: (941) 627-2011 | Whitesides Orthodontics Pllc 2286 Tamiami Trl Port Charlotte FL 33952-3924 Ph: (941) 627-2011 |
| NPI Number | 1376800714 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376800714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN18814 (Florida) | Primary |
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