| Wolcott DMD | |
|
1405 S Hiawassee Rd Orlando FL 32835-5786 | |
| (407) 294-6009 | |
| Not Available |
| Full Name | Wolcott DMD |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1405 S Hiawassee Rd, Orlando, Florida |
| Authorized Official Name and Position | Destiny Wolcott (OWNER) |
| Authorized Official Contact | 3212924058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolcott DMD 550 Brickell St Se Palm Bay FL 32909-4471 Ph: (321) 292-4058 | Wolcott DMD 1405 S Hiawassee Rd Orlando FL 32835-5786 Ph: (407) 294-6009 |
| NPI Number | 1972394120 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972394120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | () | Primary |
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